october 2009 florida pharmacy journal

26
OCT. 2009 2009 H1N1 FLU: Situation Update

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October 2009 Issue

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Page 1: October 2009 Florida Pharmacy Journal

OCT 2009

2009 H1N1 FLUSituation Update

PHARMACY RESOURCES

PPSCRetail PhaRmacy PuRchasing PRogRam

(888) 778-9909

PHARMACY CONSULTANTS

HCC Pharmacy Business SolutionsBoB milleR

(800) 642-1652

INSURANCE

MeadowbrookWoRkeRs comP insuRance endoRsed By FPa(800) 825-9489

LEGAL ASSISTANCE

Kahan Shir PLBRian a kahan RPh and attoRney at laW

(561) 999-5999

PHARMACEUTICAL WHOLESALER

McKesson Drug CompanyJim sPRingeR

(800) 804-4590 FaX (863) 616-2953

TEMPORARY PHARMACISTS ndash

STAFFING

HealthCare Consultants Pharmacy StaffingBoB milleR

(800) 642-1652

Medical Staffing Network(800) 359-1234

Rx Relief(800) RXRelieF

Buyerrsquos GuideADVERTISERS This is a special section designed to give your company more exposure and to act as an easy reference for the pharmacist

P H A R M A C Y T O D A Yflorida

Advertising in Florida Pharmacy TodayDisplay Advertising please call (850) 264-5111 for a media kit and rate sheet Buyersrsquo Guide A signed insertion of at least 3X per year 13 page or larger display ad earns a placement in the Buyersrsquo Guide A screened ad is furnished at additional cost to the advertiser Professional Referral Ads FPA Members $50 per 50 words Non-members $100 per 50 words No discounts for advertising agencies All Professional Referral ads must be paid in advance at the time of ad receipt

Support Our Advertisers Use the ldquoBuyerrsquos Guiderdquo

AHCA MEDICAID PHARMACY SERVICES2727 Mahan Drive

Tallahassee FL 32308(850) 487-4441wwwfdhcstateflusmedicaidpharmacy

AMERICAN PHARMACISTSASSOCIATION (APhA)Washington DC (800) 237-2742wwwaphanetorg

AMERICAN SOCIETY OF HEALTH SYSTEM PHARMACISTSBethesda MD (301) 657-3000wwwashpcommainhtm

DRug INFORMATION CENTERPalm Beach Atlantic University(561) 803-2728druginfocenterpbaedu

FLORIDA BOARD OF PHARMACY4052 Bald Cypress WayBin C04

Tallahassee FL 32399-3254(850) 245-4292wwwdohstateflusmqa

FLORIDA POISON INFORMATION CENTER NETWORK1-800-282-3171httporaumcufledupccfpicjaxhtm

NATIONAL COMMuNITY PHARMACISTS ASSOCIATION 100 Daingerfield Road Alexandria VA 2231470368382007036833619 faxinfoncpanetorg

RECOVERINg PHARMACISTS NETWORK OF FLORIDA(407) 257-6606 ldquoPharmacists Helping Pharmacistsrdquo

FREQUENTLY CALLED NUMBERS

O C T O B e r 2 0 0 9 | 3

VOL 72 | NO 10OCTOBer 2009 The OffiCiaL puBLiCaTiON Of ThefLOrida pharmaCy assOCiaTiONP H A R M A C Y T O D A Y

florida

Departments 2 Buyerrsquos Guide

4 Calendar

4 advertisers

5 presidentrsquos Viewpoint

7 executive insight

Features2009 h1N1 flu situation updateKey Flu Indicators

The florida pharmacy association 2009 resolutionsPresented to the House of Delegates

City of Tallahassee declares October as american pharmacists month

10

18

14

4 | f L O r i d a p h a r m a C y T O d a y

E-MAIL YOUR SUGGESTIONSIDEAS TO

davefiorecommunicationscom

Mission Statementsof the florida pharmacy Today JournalThe Florida Pharmacy Today Journal is

a peer reviewed journal which serves as a

medium through which the Florida Phar-

macy Association can communicate with

the profession on advances in the sciences of

pharmacy socio-economic issues bearing on

pharmacy and newsworthy items of interest

to the profession As a self-supported journal

it solicits and accepts advertising congruent

with its expressed mission

of the florida pharmacy Today Boardof directors The mission of the Florida Pharmacy Today

Board of Directors is to serve in an advisory

capacity to the managing editor and execu-

tive editor of the Florida Pharmacy Today Journal in the establishment and interpreta-

tion of the Journalrsquos policies and the manage-

ment of the Journalrsquos fiscal responsibilities

The Board of Directors also serves to motivate

the Florida Pharmacy Association members

to secure appropriate advertising to assist the

Journal in its goal of self-support

AdvertisersHeAlTHCARe ConsUlTAnTs 3KAHAn sHIR Pl 11

MeDICAl sTAFFInG 12PHARMACY PRoVIDeR

seRVICes (PPsC) 13Rx RelIeF 11

2009

FPA Calendar NOvEMBER

7-8 FPa committee and council meetings

Marriott Orlando Downtown

11 VeteRans day - FPa oFFice closed

13-15 nasPa Fall symPosium

Naples Florida

17-20 ascP senioR caRe PhaRmacy meeting

Anaheim California

26-27 thanksgiVing FPa oFFice closed

DECEMBER

5-6 saRasota laW conFeRence

Hyatt Regency at Sarasota Bay

8-9 BoaRd oF PhaRmacy meeting

Jacksonville

6-10 ashP midyeaR Regional conFeRence

Las Vegas NV

24-25 chRistmas holiday - FPa oFFice closed

JANUARY

1 neW yeaRs - FPa oFFice closed

30-31 FPa laW amp RegulatoRy conFeRence

Sandestin FL

31 election Ballots due

FEBRUARY

28 aWaRds nomination deadline

MARCH

2 FloRida legislatiVe session Begins

12 -15 aPha annual meeting

Washington DC

23 - 25 PhaRmacy legislatiVe day at the FloRida caPital

24 FloRida PhaRmacists health FaiR

27 - 28 FPa committee and council meetings and BoaRd oF diRectoRs

CE CREDITS (Ce cycle)The Florida Board of Pharmacy requires 10 hours lIVe Continuing education as part

of the required 30 hours general education needed every license renewal periodPharmacists should have satisfied all continuing education requirements for this

biennial period by september 30 2011 or prior to licensure renewalFor Pharmacy Technician Certification Board Application exam Information and

study materials please contact Ranada simmons in the FPA officeFor More Information on Ce Programs or eventsContact the Florida Pharmacy Association at (850) 222-2400 or visit our Web site at

wwwpharmviewcom

CONTACTSFPA mdash Michael Jackson (850) 222-2400FsHP mdash Michael McQuone (850) 906-9333UF mdash Dan Robinson (352) 273-6240FAMU mdash leola Cleveland (850) 599-3301nsU mdash Carsten evans (954) 262-1300

DISCLAIMER Articles in this publication are designed to provide accurate and authoritative information with respect to the subject matter covered This information is provided with the under-standing that neither Florida Pharmacy Today nor the Florida Pharmacy Association are engaged in rendering legal or other professional services through this publication If expert assistance or legal advice is required the services of a competent professional should be sought The use of all medications or other pharmaceutical products should be used according to the recommendations of the manufacturers Information provided by the maker of the product should always be consulted before use

For a complete calendar of events go to wwwpharmviewcom

O C T O B e r 2 0 0 9 | 5

Almost every day you hear more about health care reform And today is no exception It is crit-

ical that pro-pharmacy issues be in-cluded in health care reform There-fore in mid-september FPA executive Vice President and Ceo Michael Jack-son and APhA President (and former FPA President) ed Hamilton traveled to Washington DC to do strategic vis-its on Capitol Hill They worked togeth-er with pharmacists from other states to inform the legislators of the benefits of pharmacist-provided MTM services and to support MTM provisions in the current health care reform proposals

In addition to all the changes on the national health care horizon Florida is

also looking at many other legislative issues that could affect the practice of pharmacy in our own state The Flori-da Pharmacy Association will be keep-ing a close watch on these issues for you this year

In July the FPA legislative Commit-tee met to determine a priority list of is-sues that need to be addressed during the 2010 legislative session The list is provided below with the caveat that priorities andor items may change if unforeseen issues that affect pharmacy arise during the legislative session The list of legislative priorities for the Flor-ida Pharmacy Association for the com-ing year is as follows1 PBM legislation The committee

has recommended this as the no 1 priority This is a national issue that will be difficult to advance in the current Florida legislature We will work to develop language for a bill to be introduced

2 Medicaid Appropriations This is-sue is always on our agenda last year we were faced with multiple reductions but were able to mini-mize the financial impact on phar-macy Will Medicaid reductions once again be an issue in 2010 We believe it is necessary to be pre-pared

3 Anti-substitution of epilepsy and immunosuppressant drugs This topic continues to be an item of dis-cussion around the country A study group that will look at phar-macists interchanging these pre-scription drugs has yet to meet but there may be more to come regard-ing this issue

4 Adequate funding for state pharma-cy schools This item will be moni-

legislative Update 2009-2010Have You Heard

The Presidentrsquos ViewpointBY GUEST COLUMNIST KEN WISNIEWSKI 2009-2010 LEGISLATIvE COMMITTEE CHAIR

Ken Wisniewski2009-2010 Legislative Committee Chair

6 | f L O r i d a p h a r m a C y T O d a y

The Florida Pharmacy Association gratefully acknowledges the hard work and dedication of the following members of the FPA leadership who work deligently all year long on behalf of our members

Norman Tomaka Chairman of the Board of DirectorsKaren Whalen FPA PresidentDon Bergemann TreasurerAlexander Pytlarz Speaker of the House of DelegatesDean William Riffee Vice Speaker of the House of DelegatesAlexander Pytlarz Speaker Elect Preston McDonald Director Region 1Marcus Dodd-o Director Region 2Al Tower Director Region 3 Raul N Correa Interim Director Region 4 John Noriega Director Region 5 Chris Lent Director Region 6Kim Murray Director Region 7Joy Marcus DirectorRegion 8Ayala Fishel Director Region 9Peter Iafrate President FSHPMichael Jackson Executive Vice President and CEO

Florida Pharmacy Today Journal Board

Chair Designate Betty Harris beejpharmgmailcomTreasurer Stephen Grabowski sgrabowskiseniormmccomSecretary Stuart Ulrich StuarxaolcomMember Joseph Koptowsky docjik1215aolcomMember Jennifer Pytlarz jlc_rxdochotmailcomExecutive Editor Michael Jackson mjacksonpharmviewcomManaging Editor Dave Fiore davefiorecommunicationscom

20092010 FPA Board of Directors tored When requested by the uni-versities we will support them on this issue

Seeking Grassroots AdvocatesWho makes the decisions that will

affect our profession Yes the legisla-tors would be one answer but the best answer is YoU

Have you heard that if you do not stand up and speak for pharmacy that you are leaving the decisions to our leg-islators Do you know your state legis-lators Have you spoken to yours It is important that they know who you are and what you stand for successful leg-islative efforts require a lot of work spe-cifically networking We are asking all pharmacists to join those already work-ing on your behalf

Getting Started1 send an email and then call your

state legislator to introduce yourself and show your passion for pharma-cy

2 set an appointment to meet your legislator face-to-face in their home office before December

3 Know the key pharmacy issues so we can present a unified voice

4 Join us and meet your legislator in Tallahassee next March during Flor-ida Pharmacist legislative Days

If you donrsquot know who your rep-resentative is find out by going to the FPA Web site (wwwpharmviewcom) and click on the Advocacy tab to find the link to ldquoWho Are My Florida state legislatorsrdquo

our grassroots effort is how you can make a difference If not you then who is going to educate our represen-tatives If you currently provide a leg-islator or their family with pharmacy services you are in a unique position to foster good will and educate them about what pharmacists can do lever-age what you know by talking to them about their drug therapy and present-ing MTM as a meaningful way to help control health care costs You have a powerful story to tell We hope you will take action and help move the profes-

See Viewpoint continued on page 22

O C T O B e r 2 0 0 9 | 7

Executive InsightBY MICHAEL JACKSON RPH

What is the Value of Professional organizations

These days we are all going to have to watch our spending hab-its and scrutinize which bills get

paid which bills get delayed and which bills we leave in decay While the nation and our state struggle to right them-selves during these challenging eco-nomic times it is no wonder that par-ticipation in membership organizations rise to the top of the scrutiny list

our personal budgets become a list of needs with the number of wants de-clining dramatically Food and shelter are essential expenditures that are not included in the disposable income bud-gets This is followed by transportation communication health care insurance education and training Disposable in-come generally has been used for such things as entertainment vacation gifts and charitable contributions It is with-in this part of our personal budgets that we allocate funds to support our pro-fessional associations and societies

Why sign up for membership in an organization While we each may have our own reasons some of the more ob-vious direct benefits include discounts on offered continuing-education pro-grams general assistance with regula-tory issues and discounts on services provided by the associationrsquos member benefits partners such as car rentals hotel stays and telecommunication ser-vices There also are benefits such as competitive rates on workers compen-sation insurance complimentary access to FPArsquos web based law and regulato-ry information resource and discounts on our controlled substance inventory booklet There also are benefits from re-ceiving breaking information on regu-latory and legislative changes to critical pharmacy rules and laws from news-

letters and the Associationrsquos monthly journal

The FPA has a member retention program called the 1 Club This orga-nization within the FPA is designed for members who believe so much in the Florida Pharmacy Associationrsquos mis-

sion and vision that they are willing to reach out to others to encourage their joining our organization There is a di-rect benefit here in that those members who actively recruit 10 regular mem-bers into the FPA receive a complimen-tary registration at the annual meeting a sporty red blazer and a plaque with recognition for their commitment In addition complimentary registration is awarded for the continued participation each year as an active 1 Club member through the recruitment of three new regular members during each conven-tion year

This is all great information how-ever there are other reasons to support your professional organizations that may not necessarily fall into direct ben-efit categories over the years the ca-reers of pharmacists have blossomed into areas that produced significant personal financial growth Part of this has been through the demand for phar-macist dispensing services the build-ing of many venues requiring licensed pharmacists and the development and advertising of new prescription drugs

This demand for pharmacists though moderating in recent years has created a number of new career options for currently practicing pharmacists as well as for new pharmacy candidates enrolled in our five colleges and uni-versities here in Florida We hope that our members are aware that this pro-fession was advocated for by the Flor-ida Pharmacy Association through the creation of the Board of Pharmacy The purpose was to ensure that only those who qualify should be allowed to prac-tice this profession The intent was also

[The 1 Club] within the FPA is designed for members who believe

so much in the Florida Pharmacy Associationrsquos

mission and vision that they are willing to reach out to others to

encourage their joining our organization

BY MICHAEL JACKSON FPA ExECUTIvE vICE PRESIDENTCEO

Michael Jackson BPharm

8 | f L O r i d a p h a r m a C y T O d a y

Executive Vice PresidentCEOMichael Jackson

(850) 222-2400 ext 200Director of Continuing Education

Tian Merren-Owens ext 120Controller

Wanda Hall ext 211Membership CoordinatorRanada Simmons ext 110

Educational Services Office AssistantStacey Brooks ext 210

FLORIDA PHARMACY TODAY BOARDChair Designate Betty Harris Lighthouse Point Treasurer Stephen Grabowski TampaSecretary Stuart Ulrich Boynton BeachMember Joseph Koptowsky MiamiMember Jennifer Pytlarz BrandonExecutive Editor Michael Jackson TallahasseeManaging Editor Dave Fiore Tallahassee

This is a peer reviewed publication copy2009 FLORIDA PHARMACY JOURNAL INCARTICLE ACCEPTANCE The Florida Phar-macy Today is a publication that welcomes articles that have a direct pertinence to the current practice of pharmacy All articles are subject to review by the Publication Review Committee editors and other outside referees Submitted articles are received with the understanding that they are not being considered by another publication All articles become the property of the Florida Pharmacy Today and may not be published without written permission from both the author and the Florida Pharmacy Today The Florida Pharmacy Association assumes no responsibility for the statements and opinions made by the authors to the Florida Pharmacy Today

The Journal of the Florida Pharmacy Association does not accept for publication articles or letters concerning religion politics or any other subject the editorspublishers deem unsuitable for the readership of this journal In addition The Journal does not accept advertising material from persons who are running for office in the association The editors reserve the right to edit all materials submitted for publication Letters and materials submitted for consideration for publication may be subject to review by the Editorial Review Board

FLORIDA PHARMACY TODAY Annual sub-scription - United States and foreign Indi-vidual $36 Institution $70year $500 single copies Florida residents add 7 sales tax

Florida Pharmacy association

610 N Adams St bull Tallahassee FL 32301850222-2400 bull FAX 850561-6758

Web Address httpwwwpharmviewcom

FPA STAFF

Over half of your dues go into the funding of our advocacy program

to advocate for consumer confidence in the services that we provide and that our profession has individuals with the skills and knowledge to resolve pa-tient medication issues without causing harm

Keep in mind that other benefits in-clude the vast networking opportu-nities to gain knowledge from others within our organization who have de-veloped innovative practices or who have resolved a health care service re-

lated issue While we can learn much from what is published in the phar-macy press there is a wealth of knowl-edge from peer dialog at conferences and leadership meetings

organizations also share informa-tion of interest and value with their members The value of information in todayrsquos competitive world is truly un-derestimated I know of pharmacists who received lucrative promotions from their employer simply because they had information provided to them by their organizations or that no one else had It is no secret that many orga-nizations such as the FPA have active members who have the ability to make decisions whether a pharmacist candi-date has the necessary skills training and commitment to their profession in todayrsquos competitive hiring market

Having been a former district man-ager with responsibility over 58 pre-scription departments in three states I can tell you from experience that I looked carefully at applicants who could demonstrate to me their involve-ment in their growth and development beyond standard classroom internship training and work experience Those who were actively involved in their professional organizations and had the experience of networking and com-municating with consumers and oth-er health care practitioners with ease

generally were at a competitive advan-tage over a pharmacist candidate who could only produce a great transcript and time behind the workbench

Finally simply reporting legislative or regulatory changes to the practice act are not the sole task of professional organizations They also invest a con-siderable amount of resources into ad-vocating for change or revisions to the laws and rules that affect how you pro-vide services to patients as well as de-

fending against policy making that creates professional barriers In many cases the practice evolves beyond state and federal regulations Your profes-sional organizations work to facilitate the change necessary to make sure that the laws are sensible and relevant in to-dayrsquos modern pharmacy practice envi-ronment Then we must be a resource to you to help integrate these changes so that you do not fall out of compli-ance

A portion of our membership will be receiving renewal notices for the January billing cycle We hope that you have found some of the information in this article beneficial and encour-aging enough to invest in your pro-fession over half of your dues go into the funding of our advocacy program The dues paid by our regular members are barely equal to the cost associat-ed with drinking two bottled waters a week We hope that the information in this article encourages you to continue your support for our profession and al-low your dues to be an essential expen-diture Please consider it an investment in your future n

O C T O B e r 2 0 0 9 | 9

The concrete bricks are 4x8 and can be engraved with up to 14 characters per line three lines available spaces and punctuation count as one character Please fi nd enclosed my check for $_________ for _________ bricks

PLEASE PRINT Please charge my Master Card Visa

CARD EXP DATE

AUTHORIZED SIGNATURE

NAME

ADDRESS

CITY STATE ZIP

PHONE (W) (H)

O R D E R F O R M

Send to Florida Pharmacy Foundation 610 N Adams St Tallahassee FL 32301or fax to (850) 561-6758

Contributions to the Florida Pharmacy Foundation are tax deductible as a charitable contribution for federal income tax purposes Consult your CPA for complete details Fed Emp ID 59-2190074

A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE 1-800-435-7352 WITHIN THE STATE REGISTRATION DOES NOT IMPLY ENDORSEMENT APPROVAL OR RECOMMENDATION BY THE STATE

The Walkway of Recognition

YES I want to order _______ concrete bricks at $25000 each (Please copy form for additional inscriptions)

Have you been searching for just the right gift or thought of placing your name in perpetuity If so then consider purchasing an engraved brick for you or someone else

The main sidewalk at the Florida Pharmacy Association needs replacing The Florida Pharmacy Foundation has undertaken the project to repair and beautify the sidewalk with engraved personal bricks purchased by pharmacists or friends of pharmacy

Engraved 4x8 bricks can be purchased for $25000 each with the donorrsquos name engraved (3 lines available) or you could also purchase an engraved brick for someone you feel should be honored or remembered

The monies earned from this project will be used to fulfi ll the goals and future of the Foundation There are a limited number of bricks available ndash so it is fi rst come fi rst served

PLEASE PRINT INSCRIPTION

THE WALKWAY OF RECOGNITION

YOUR NAME HERE

FPA OFFICE

FoundationAdBrickesindd 1 122308 94448 PM

10 | f L O r i d a p h a r m a C y T O d a y

Visits to doctor n s for influenza-like illness (IlI) continued to increase in the United states and overall are higher than levels expected for this time of the year Total influenza n hospitalization rates for laboratory-con-firmed influenza are higher than expected for this time of year for adults and children And for children 5-17 and adults 18-49 years of age hospitalization rates from April ndash october 2009 exceed average flu season rates (for octo-ber through April) The proportion of n deaths attributed to pneumonia and in-fluenza (PampI) based on the 122 Cities Report has increased and now exceeds what is normally expected at this time of year In addition 19 flu-related pediatric deaths were reported this week 16 of these deaths were confirmed 2009 H1n1 and 3 were unsubtyped influenza A and like-ly to be 2009 H1n1 A total of 76 laboratory confirmed 2009 H1n1 pediatric deaths have been reported to CDC since April Thirty-seven states are reporting n widespread influen-za activity at this time They are Alabama Alaska Ari-zona Arkansas California Colorado Delaware Florida Georgia Idaho Illinois Indiana Iowa Kansas Kentucky louisiana Maryland Minnesota Mississippi Missouri nebraska nevada new Hampshire new Mexico new York north Carolina ohio oklahoma oregon Penn-sylvania south Carolina south Dakota Texas Tennes-see Virginia Washington and Wyoming Any reports of widespread influenza activity in september and october are very unusual Almost all of the influenza n viruses identified so far are 2009 H1n1 influenza A viruses These viruses remain similar to the virus chosen for the 2009 H1n1 vaccine and remain susceptible to the antiviral drugs oseltamivir and zanamivir with rare exception CDC Guidance for Businesses and Employers To Plan and Respond to the

2009ndash2010 Influenza Season

IntroductionThe Us Department of Health and Human servicesrsquo

(HHs) Centers for Disease Control and Prevention (CDC) with input from the Us Department of Homeland security (DHs) has developed updated guidance for employers of all sizes to use as they develop or review and update plans to re-

spond to 2009 H1n1 influenza now and during the upcom-ing fall and winter influenza season Businesses and employ-ers in general play a key role in protecting employeesrsquo health and safety as well as in limiting the negative impact of in-fluenza outbreaks on the individual the community and the nationrsquos economy employers who have developed pandemic plans should review and revise their plans in light of the cur-rent 2009 H1n1 influenza outbreak to take into account the extent and severity of disease in their community as outlined in this guidance2

Planning for Fall and Winter Influenza SeasonBusinesses may have already been impacted by the spring

and summer outbreaks of 2009 H1n1 influenza affecting their employees CDC anticipates that more communities may be affected than were in the springsummer 2009 andor more severely affected reflecting wider transmission and possibly greater impact In addition seasonal influenza viruses may cause illness at the same time as 2009 H1n1 this fall and win-ter In response to the anticipated spread of 2009 H1n1 in-fluenza the CDC has revised its recommendations to assist businesses and other employers of all sizes

The severity of illness that 2009 H1n1 influenza flu will cause (including hospitalizations and deaths) or the amount of illness that may occur as a result of seasonal influenza dur-ing the 2009ndash2010 influenza season cannot be predicted with a high degree of certainty Therefore employers should plan to be able to respond in a flexible way to varying levels of severity and be prepared to refine their pandemic influenza response plans if a potentially more serious outbreak of in-fluenza evolves during the fall and winter More people and communities are likely to be affected as influenza is more widely transmitted The CDC and its partners will continu-ously monitor national and international data on the severity of illness caused by influenza will disseminate the results of these ongoing surveillance assessments and will make addi-tional recommendations as needed

Considerations of Appropriate Response Strategies

All employers must balance a variety of objectives when determining how best to decrease the spread of influenza and lower the impact of influenza in the workplace They should

2009 H1N1 Flu Situation UpdateKey Flu Indicatorseach week CDC analyzes information about influenza disease activity in the United states and publishes findings of key flu indicators in a report called FluView During the week of september 27 - october 3 2009 a review of the key indictors found that influenza activity increased in the United states Below is a summary of the most recent key indicators

O C T O B e r 2 0 0 9 | 11

CONTROL YOUR ASSIGNMENTSCONTROL YOUR CAREER

The Alternative To A Traditional Career In Pharmacy

Career nan occupation undertaken for a significant period of a personrsquos life usually with opportunities for progress

bull Guaranteed Hours bull Professional Pay amp Benefitsbull Special Clients Flexible Assignmentsbull A Variety Of Bonus Programsbull Professional Development OpportunitiesCross Training

Professional Well-Managed Fair

04480 HensleyRX ReliefFlorida Pharmacy Todaymdash14 pg ad (35rdquox475rdquo)

A PhArmAcist And A LAwyer

Board of Pharmacy Licensure Disciplinary ProceedingsDefense of Chapter 499 Pedigree Laws Violations

Mergers and AcquisitionsCommercial Civil and Criminal Proceedings

KAHAN SHIR PL

Pharmacist AttorneyBrian A Kahan RPh JD

Licensed Florida Pharmacist and Attorney

STATEWIDE REPRESENTATION

561-999-5999bkahankahanshircom

1800 NW Corporate Blvd Suite 200 Boca Raton FL 33431

The hiring of a lawyer is an important decision that should not be based solely upon advertisements Before you decide ask us to send you free written information about our qualifications and experience

consider and communicate their objectives which may in-clude one or more of the following (a) reducing transmis-sion among staff (b) protecting people who are at increased risk of influenza related complications from getting infected with influenza (c) maintaining business operations and (d) minimizing adverse effects on other entities in their supply chains

employers should expect to see a wide range of disease patterns across the country employers should base their strategies and response to influenza outbreaks on local infor-mation from local and state public health authorities some of the key indicators that should be used when making deci-sions on appropriate responses are

Disease severity (ie hospitalization and death rates) in n

the community where business is locatedextent of disease (number of people who are sick) in the n

communityAmount of worker absenteeism in your business or orga- n

nizationImpact of disease on workforce populations that are vul- n

nerable and at higher risk (eg pregnant women employ-ees with certain chronic medical conditions that put them at increased risk for complications of influenza) andother factors that may affect employeesrsquo ability to get to n

work such as school dismissals or closures due to high levels of illness in children or school dismissalsemployers need to plan now to be able to obtain updated

information on these indicators from state and local health departments in each community where they have a business presence and to respond quickly to the changing reality on the ground employers with more than one business location are encouraged to provide local managers with the authori-ty to take appropriate actions outlined in their business pan-demic plan based on the condition in each locality

Preparedness and Response Recommendations

PLANNING FOR 2009 H1N1 AND THE 2009ndash2010 INFLUENzA SEASON

This guidance is designed to help employers plan for and respond to two possible conditions 1) a continuation of the current level of severity of influenza as was observed during the spring and summer of 2009 and 2) a more severe outbreak The first situation is what is being experienced in some com-munities nowmdashan outbreak of similar severity of 2009 H1n1 to the spring However even if the severity of the virus does not change planners should expect that there will be more people who are ill in the fall and winter as 2009 H1n1 out-breaks coincide with the seasonal influenza season and this level of absenteeism may impact business operations A sec-ond situation involves an outbreak of greater severity includ-ing more people with severe illness and thus more people hospitalized for influenza complications more deaths from influenza and a probable escalation of absenteeism

12 | f L O r i d a p h a r m a C y T O d a y

copy 2009 Medical Staffi ng Network Inc | PS-9005D

The Right Jobbull Flexible Schedulesbull Top Compensationbull Great Benefi tsbull Local or Travel

Assignments

The Right Candidatebull Fully Credentialedbull Maximize Patient

Customer Carebull Improved Employee

Satisfaction

8002239230 pharmacymsnhealthcom | pharmstaff com

Per Diem | Temporary | Permanent

YOUrsquoVE FOUND IT

The Right Job The Right CandidatePharmstaff pieces it all together

Work with the Best

247 Support

Businesses should have an understanding of their normal seasonal absenteeism rates and know how to monitor their personnel for any unusual increases in absenteeism through the fall and winter Business continuity planners should as-sess their essential business functions now to determine at what threshold of absenteeism those functions would be threatened if absenteeism escalates Planners can then pre-pare to take more aggressive measures to protect continuity as absenteeism escalates towards those thresholds

even employers in communities that have not yet felt ef-fects from 2009 H1n1 influenza should plan for an influen-za outbreak this fall and winter and be ready to implement strategies to protect their workforce while ensuring continuity of operations During an influenza pandemic all sick people should stay home and away from the workplace hand wash-ing and covering coughs and sneezes should be encouraged and routine cleaning of commonly touched surfaces should be performed regularly If the severity of illness increases employers should be ready to implement additional measures while continuing to rigorously implement the interventions recommended for an outbreak similar to the springsummer 2009 H1n1 outbreak If severity increases public health offi-cials may recommend a variety of methods for increasing the physical distance between people (called social distancing) to reduce the spread of disease such as school dismissal child care program closure canceling large community gatherings canceling large business-related meetings spacing workers farther apart in the workplace canceling non-essential travel

and recommending work-from-home strategies for workers that can conduct their business remotely

Please remember employers should develop capabilities to respond to both scenarios and these two conditions serve only as a planning framework Businesses and other employ-ers should develop flexible capabilities to respond to either situation given the difficulties in accurately predicting the ex-tent and severity of 2009 H1n1 as it unfolds during the 2009ndash2010 influenza season Individual businesses may implement additional actions if they experience high absenteeism or business continuity is compromised In addition employers should be aware that other emergencies such as hurricanes or other natural disasters may happen during the fall and win-ter creating additional challenging problems for businesses and communities

WORk WITH STATE AND LOCAL PUBLIC HEALTH PARTNERS

Coordination with state and local health officials is strong-ly encouraged for all businesses so that timely and accurate information can guide appropriate responses in each location where their operations reside since the intensity of an out-break may differ according to geographic location local pub-lic health officials will be issuing guidance specific to their communities Also businesses could work with public health and community leaders to explore ways of improving accessi-bility of vaccination for the workforce and in the community

kEEP SICk WORkERS HOME

one of the best way to reduce the spread of influenza is to keep sick people away from well people However in the fall and winter it will not be possible to quickly determine if workers who are ill have 2009 H1n1 seasonal influenza or any number of other different conditions based on symptoms alone local and state health department surveillance infor-mation can be helpful to know when influenza is circulating in the community although the availability timeliness and amount of local information on when influenza is circulating may vary substantially from community to community

Workers who have symptoms of influenza-like illness3 are recommended to stay home and not come to work until at least 24 hours after their fever has resolved4 Regardless of the size of the business or the function or services that you pro-vide all employers should plan now to allow and encourage sick workers to stay home without fear of losing their jobs CDC recommends this strategy for all levels of severity em-ployers should plan now for how they will operate if there is significant absenteeism from sick workers However employ-ers should know that some persons with influenza including those ill with 2009 H1n1 do not have fever Therefore it will not be possible to exclude everyone who is ill with influenza from the workplace

BE PREPARED IF SCHOOLS DISMISS STUDENTS OR CHILD CARE PROGRAMS CLOSE

In some communities schools may dismiss students and childcare programs may close particularly if the severity in-

O C T O B e r 2 0 0 9 | 13

creases5 officials will make these decisions to protect pub-lic health but they will affect your businessrsquos functioning es-pecially affecting absenteeism Plan now to determine how you will operate if absenteeism spikes from increases in sick workers those who stay home to care for ill family members and those who must stay home to watch their children if dis-missed from school Businesses and other employers should prepare to institute flexible workplace and leave policies for these workers

Actions Employers Should Take NowReview or establish a flexible influenza pandemic plan n

and involve your employees in developing and reviewing your planConduct a focused discussion or exercise using your plan n

to find out ahead of time whether the plan has gaps or problems that need to be corrected before flu seasonHave an understanding of your organizationrsquos normal n

seasonal absenteeism rates and know how to monitor your personnel for any unusual increases in absenteeism through the fall and winterengage state and local health department to confirm n

channels of communication and methods for dissemina-tion of local outbreak informationAllow sick workers to stay home without fear of losing n

their jobsDevelop other flexible leave policies to allow workers to n

stay home to care for sick family members or for children if schools dismiss students or child care programs closeshare your influenza pandemic plan with employees and n

explain what human resources policies workplace and leave flexibilities and pay and benefits will be available to themshare best practices with other businesses in your com- n

munities (especially those in your supply chain) cham-bers of commerce and associations to improve communi-ty response efforts andAdd a ldquowidgetrdquo or ldquobuttonrdquo to your company Web page n

or employee Web sites so employees can access the lat-est information on influenza wwwcdcgovwidgets and wwwcdcgovsocialMediaCampaignsH1n1buttonshtml

Important Components of an Influenza Pandemic Plan

Be prepared to implement multiple measures to protect n

workers and ensure business continuity A layered ap-proach will likely work better than using just one mea-sureIdentify possible work-related exposure and health risks n

to your employees The occupational safety and Health Administration (osHA) has developed tools to determine if your employees are at risk of work-related exposures and if so how to respond (see wwwoshagovdsgtopics

I n d e p e n d e n t hellip B u t N o t A l o n e P P S C i s Y o u r P a r t n e r f o r S u c c e s s

WorkSmarter

PPSC can help your independent pharmacy become more efficient and productive through its innovative Work Smarter programs and services

PPSC can help youENHANCE operational workflowsAUTOMATE dispensing product

returns and Part B billingREDUCE claim resubmissionsINCREASE your profits

For more on how PPSC can maximize the potential of your independent pharmacy visit wwwppsconlinecom or call toll-free 888-778-9909

14 | f L O r i d a p h a r m a C y T O d a y

City of Tallahassee Declares October as American Pharmacists Month

Tallahassee Mayor John Marks has declared october as American Pharmacist Month In a procla-mation signed on october 1 2009 Mayor Marks urged all citizens to acknowledge the valuable servic-es of pharmacists to provide safe affordable and beneficial pharma-ceutical care services and prod-ucts to all citizens

The Florida Pharmacy Associa-tion wish to thank our FAMU in-tern Carina Davison for her work with the City of Tallahassee dur-ing her rotation here at the FPA of-fice

FROM THE GOVERNING BODY OFTHE CITY OF TALLAHASSEE

PROCLAMATIONWhereas pharmacy is one of the oldest of the health professions con-cerned with the health and well-being of all people andWhereas today there are over 254000 pharmacists practicing in the United States and over 400 pharmacists licensed in the city of Tallahassee providing services to assure the rational and safe use of all medications andWhereas the use of medication as a cost-effective alternative to more expensive medical procedures is becoming a major force in moderating overall health care costs andWhereas todays powerful medications require greater attention to the manner in which they are used by different patient population groups -both clinically and demographically andWhereas it is important that all users of prescription and nonprescrip-tion medications or their caregivers be knowledgeable about and share responsibility for their own drug therapy andWhereas the American Pharmacists Association and the Florida Phar-macy Association have declared October as American Pharmacists Month with the theme Know Your Medicines - Know Your Pharmacist

Now therefore be it resolved that I John Marks do hereby proclaim October as

American Pharmacists Month

in the city of Tallahassee and urge all our citizens to acknowledge the valuable services of pharmacists to provide safe affordable and beneficial pharmaceutical care services and products to all citizens

O C T O B e r 2 0 0 9 | 15

pandemicfluindexhtml)Review human resources policies to make sure that poli- n

cies and practices are consistent with public health rec-ommendations and are consistent with existing state and federal workplace laws (for more information on employ-er responsibilities employers should visit the Department of laborrsquos and the equal employment opportunity Com-missionrsquos websites at wwwdolgov and wwweeocgov)Allow employees to stay home if they are ill have to care n

for ill family members or must watch their children if schools or childcare facilities closeexplore whether you can establish policies and practices n

such as flexible worksites (eg telecommuting) and flex-ible work hours (eg staggered shifts) when possible to increased the physical distance among employees and be-tween employees and others if local public health author-ities recommend the use of social distancing strategies ensure that you have the information technology and in-frastructure needed to support multiple workers who may be able to work from homeIdentify essential business functions essential jobs or n

roles and critical elements within your supply chains (eg raw materials suppliers subcontractor servicesproducts and logistics) required to maintain business op-erations Plan for how your business will operate if there is increasing absenteeism or these supply chains are inter-ruptedset up authorities triggers and procedures for activat- n

ing and terminating the companyrsquos response plan alter-ing business operations (eg possibly changing or closing operations in affected areas) and transferring business knowledge to key employees Work closely with your lo-cal health officials to identify these triggersPlan to minimize exposure to fellow employees or the n

public if public health officials call for social distancingestablish a process to communicate information to work- n

ers and business partners on your 2009 H1n1 influenza response plans and latest 2009 H1n1 influenza informa-tion Anticipate employee fear anxiety rumors and mis-information and plan communications accordingly

over the past several years HHs CDC DHs osHA eeoC and other federal partners have developed guidelines including checklists to assist businesses industries and oth-er employers in planning for a pandemic outbreak Review these resources to assist in your planning efforts wwwflugovplanworkplaceplanningindexhtml

The recommendations that follow provide guidance on how employers can develop strategies and respond to two levels of severity local conditions will influence the deci-sions that public health officials make regarding community-level strategies employers should take the time now to learn about plans in place in each community where they have a presence

Recommended Employer Responses for the 2009-2010 Flu SeasonRecommended Action Steps under Current Flu Conditions (similar severity as in SpringSummer 2009)

If the severity of illness in the fall and winter is similar to that observed in the spring and summer of 2009 the effects of 2009 H1n1 influenza may not have substantial impacts on absenteeism though some increase in absenteeism over the spring season is anticipated When larger numbers of people become ill correspondingly larger numbers of people will be-come seriously ill and may require hospitalization

SICK PERSONS SHOuLD STAY HOMEAdvise workers to be alert to any signs of fever and any n

other signs of influenza-like illness6 before reporting to work each day and notify their supervisor and stay home if they are ill employees who are ill should not travel while they are illCDC recommends that employees with influenza-like ill- n

ness remain at home until at least 24 hours after they are free of fever (100deg F [378deg C] or greater) or signs of a fever without the use of fever-reducing medicationsexpect sick employees to be out for about 3 to 5 days in n

most cases even if antiviral medications are usedensure that your sick leave policies are flexible and con- n

sistent with public health guidance and that employees are well aware of these policiesTalk with companies that provide your company with n

contract or temporary workers about the importance of sick workers staying home and encourage them to devel-op non-punitive leave policiesDo not require a doctorrsquos note for workers who are ill with n

influenza-like illness to validate their illness or to return to work as doctorrsquos offices and medical facilities may be extremely busy and may not be able to provide such doc-umentation in a timely way employees who are well but who have an ill family mem- n

ber at home with influenza can go to work as usual How-ever these employees should monitor their health every day and notify their supervisor and stay home if they be-come ill employers should maintain flexible policies that permit employees to stay home to care for an ill family member employers should be aware that more workers may need to stay at home to care for ill children or other ill family members than is usual

SICK EMPLOYEES AT WORK SHOuLD BE ASKED TO gO HOME

CDC recommends that workers who appear to have an n

influenza-like illness upon arrival or become ill during the day be promptly separated from other workers and be advised to go home until at least 24 hours after they are free of fever (100deg F [378deg C] or greater) or signs of a fever without the use of fever-reducing medications Those who become ill with symptoms of an influenza-like n

illness during the work day should be

16 | f L O r i d a p h a r m a C y T O d a y

o separated from other workers and asked to go home promptly (For recommendations on personal protec-tive equipment for a person assisting the ill employee see Interim Recommendations for Facemask and Res-pirator Use to Reduce novel Influenza A (H1n1) Vi-rus Transmission httpwwwcdcgovh1n1flumaskshtm)

o When possible and if they can tolerate it workers with influenza-like illness should be given a surgical mask to wear before they go home if they cannot be placed in an area away from others

If an employee becomes ill at work inform fellow employ- n

ees of their possible exposure in the workplace to influen-za-like illness but maintain confidentiality as required by the Americans with Disabilities Act (ADA) For more in-formation on privacy issues please refer to httpwwwflugovfaqworkplace_questionsequal_employmentin-dexhtmlPrivacyIssues employees exposed to a sick co-worker should monitor themselves for symptoms of influ-enza-like illness and stay home if they are sick

COVER COugHS AND SNEEzESInfluenza viruses are thought to spread mainly from per- n

son to person in respiratory droplets of coughs and sneez-es Provide employee messages on the importance of cov-ering coughs and sneezes with a tissue or in the absence of a tissue onersquos sleeve Place posters in the worksite that encourages cough and sneeze etiquetteProvide tissues and no-touch disposal receptacles for use n

by employees

IMPROVE HAND HYgIENEInfluenza may be spread via contaminated hands In- n

struct employees to wash their hands often with soap and water or use an alcohol-based hand cleaner especially af-ter coughing or sneezing Place posters in the worksite that encourage hand hygieneProvide soap and water and alcohol-based hand sanitiz- n

ers in the workplace ensure that adequate supplies are maintained If feasible place hand sanitizers in multiple locations or in conference rooms to encourage hand hy-giene

CLEAN SuRFACES AND ITEMS THAT ARE MORE LIKELY TO HAVE FREquENT HAND CONTACT

Frequently clean all commonly touched surfaces in the n

workplace such as workstations countertops and door-knobs Use the cleaning agents that are usually used in these areas and follow the directions on the labelno additional disinfection beyond routine cleaning is rec- n

ommendedENCOuRAgE EMPLOYEES TO gET VACCINATED

encourage your employees to get vaccinated for seasonal n

influenza For information on groups prioritized for sea-sonal influenza vaccines please see httpwwwcdcgovfluprotectkeyfactshtm encourage your employees also to get vaccinated for 2009 n

H1n1 influenza when vaccines are available to them Dif-ferent groups are prioritized for 2009 H1n1 influenza than for seasonal influenza For information on groups prioritized for H1n1 influenza vaccine please see httpwwwcdcgovh1n1fluvaccinationaciphtm offer opportunities at your worksite for influenza vacci- n

nation Consider granting employees time off from work to get vaccinated if not offered at the worksiteReview the health benefits you offer employees and work n

with insurers to explore if they can cover the costs of in-fluenza vaccination

TAKE MEASuRES TO PROTECT EMPLOYEES WHO ARE AT HIgHER RISK FOR COMPLICATIONS OF INFLuENzA

People at higher risk for complications from influenza in- n

clude pregnant women children under 5 years of age adults and children who have chronic lung disease (such as asthma) heart disease diabetes diseases that suppress the immune system and other chronic medical conditions and those who are 65 years or older7 Inform employees that some people are at higher risk of n

complications from influenza and that if they are at high-er risk for complications they should check with their health care provider if they become ill early treatment with antiviral medications is very important for people at high risk because it can prevent hospitalizations and deathsencourage employees recommended for seasonal influ- n

enza vaccine and 2009 H1n1 vaccines to get vaccinated as soon as these vaccines are available For information on groups prioritized for seasonal and H1n1 vaccines please see httpwwwcdcgovfluprotectkeyfactshtm and httpwwwcdcgovh1n1fluvaccinationaciphtmemployees who become ill and are at increased risk of n

complications from influenza and ill employees who are concerned about their illness should call their health care provider for advice Their health care provider might want them to take antiviral medications to reduce the likelihood of severe complications from the influenzasee n httpwwwcdcgovh1n1fluqahtm for more infor-mation

PREPARE FOR INCREASED NuMBERS OF EMPLOYEE ABSENCES DuE TO ILLNESS IN EMPLOYEES AND THEIR FAMILY MEMBERS AND PLAN WAYS FOR ESSENTIAL BuSINESS FuNCTIONS TO CONTINuE

employers should plan to monitor and respond to ab- n

senteeism at the workplace Implement plans to contin-ue your essential functions in case you experience high-er than usual absenteeism elevated absentee rates can be due to sick workers those who need to stay home and care for others or from workers with conditions that make them at higher risk for complications from influen-za and who may be worried about coming to work Cross-train personnel to perform essential functions so n

that the workplace is able to operate even if key staff are absent

O C T O B e r 2 0 0 9 | 17

Assess your essential functions and the reliance that oth- n

ers and the community have on your services or products Be prepared to change your business practices if need-ed to maintain critical operations (eg identify alternative suppliers prioritize customers or temporarily suspend some of your operations if needed)

ADVISE EMPLOYEES BEFORE TRAVELINg TO TAKE CERTAIN STEPS

Advise workers to check themselves for fever and any n

other signs of influenza-like illness before starting travel and notify their supervisor and stay home if they are illAdvise employees who will be traveling or on temporary n

assignment about precautions they may need to take to protect their health and who to call if they become illemployees who become ill while traveling and are at in- n

creased risk of complications from influenza and oth-ers concerned about their illness should promptly call a health care provider for adviceensure employees who become ill while traveling or on n

temporary assignment understand that they should noti-fy their supervisor If outside the United states ill employees should fol- n

low your companyrsquos policy for obtaining medical care or contact a health care provider or overseas medical assis-tance company to assist them with finding an appropriate health care provider in that country if needed A Us con-sular officer can help locate health care services However Us embassies consulates and military facilities do not have the legal authority capability and resources to evac-uate or give medications vaccines or medical care to pri-vate Us citizens overseassee CDCrsquos Travel Website ( n httpwwwncdcgovtrav-elcontentnovel-h1n1-fluaspx) for more information for travelers

PREPARE FOR THE POSSIBILITY OF SCHOOL DISMISSAL OR TEMPORARY CLOSuRE OF CHILD CARE PROgRAMS

Although school dismissals or closures of child care pro- n

grams are not likely to be generally recommended at this level of severity they are possible in some jurisdictions Be prepared to allow workers to stay home to care for n

children if schools are dismissed or child care programs are closed strongly recommend that parents not bring their children n

with them to work while schools are dismissedensure that your leave policies are flexible and non-puni- n

tive Cross-train employees to cover essential functions n

Read CDCrsquos Guidance for state and local Public Health n

officials and school Administrators for school (K-12) Re-sponses which can be found at httpwwwcdcgovh1n-1fluschoolsschoolguidancehtm to better understand the conditions under which schools may be dismissed

Under Conditions with Increased Severity Compared to SpringSummer 2009

If 2009 H1n1 becomes more severe than during springsummer 2009 absenteeism will likely be far greater and ad-ditional protective measures to slow the spread of influenza may be considered Check with your local health department for the extent and severity of disease activity in your commu-nity and for recommendations for necessary measures Deci-sions about what tools should be used during a severe 2009 H1n1 outbreak should be based on the observed severity of the event its impact on specific subpopulations the need to protect workers the expected benefit of the interventions the feasibility of success of implementing these measures the di-rect and indirect costs of different interventions and the ef-fects on critical infrastructure health care delivery and soci-ety The following are measures that should be considered if influenza severity increases and are meant for use in addition to the measures outlined above

CONSIDER ACTIVE SCREENINg OF EMPLOYEES WHO REPORT TO WORK

If influenza severity increases at the beginning of the n

workday or with each new shift all employees should be asked about symptoms consistent with an influenza ill-ness8 such as fever or chills AnD cough or sore throat If the severity or the impact of influenza increases CDC rec-ommends that persons with an influenza-like illness not come to work or travel and remain at home for at least 7 days even if symptoms resolve sooner Individuals who are still sick 7 days after they become ill should continue to stay home until at least 24 hours after symptoms have resolved If influenza severity increases CDC recom-mends that people stay home at least 7 days whether or not antiviral medications are usedMake sure your sick leave policies are flexible and consis- n

tent with public health guidance and that your employ-ees are aware of these policies Do not require a doctorrsquos note for workers who are ill with n

influenzaContinue to advise workers to check for any signs of ill- n

ness before reporting to work each dayMake contingency plans for increased absenteeism n

caused by illness in workers or illness in workersrsquo family members that would require them to stay home Planning for absenteeism could include cross-training current em-ployees or hiring temporary workers

CONSIDER ALTERNATIVE WORK ENVIRONMENTS FOR EMPLOYEES AT HIgHER RISK FOR COMPLICATIONS OF INFLuENzA DuRINg PERIODS OF INCREASED INFLuENzA ACTIVITY IN THE COMMuNITY

employees with an underlying chronic medical condition n

or who are pregnant should consider calling their health care provider for advice about how to reduce their risk of exposure to influenza and if they get sick how best to get early treatment for influenzaIf influenza severity increases and if influenza transmis- n

sion is high in the community employers may want to evaluate their work environment to see how they can re-

18 | f L O r i d a p h a r m a C y T O d a y

duce the number of people that high-risk employees come in contact with such as exploring options for telecom-muting from home (if feasible) employers can also think about how workers at higher risk for influenza compli-cations could be reassigned to duties that have minimal contact with other employees clients or customers If these workers cannot be reassigned duties to reduce con-tact with others are concerned about their ability to avoid influenza at the workplace or will be in crowded condi-tions at work or while commuting to work then consider allowing employees at higher risk for influenza complica-tions to stay home from workCDC recommends that ill workers at higher risk of com- n

plications from influenza seek early treatment if they be-come illsee n httpwwwcdcgovh1n1fluqahtm for more infor-mation

CONSIDER INCREASINg SOCIAL DISTANCINg IN THE WORKPLACE

If influenza severity increases local public health offi- n

cials may recommend that employers implement mea-sures to increase the physical distance between people in the workplace to reduce the spread of influenza The goal should be for there to be at least 6 feet of distance between people at most times This is not a simple or easy strategy and would typically require considerable flexibility These measures may include avoiding crowded work settings canceling business-related face-to-face meetings spacing workers farther apart canceling non-essential travel in-creasing use of teleworking and using staggered shifts to allow fewer workers to be in the workplace at the same time9

If appropriate for your type of business and feasible re- n

view or develop policies for teleworking including an as-sessment of the capabilities and gaps of your current com-puter systems and availability of technical support Take remedial steps if needed and test your system in advance to assure it can handle an increase in remote usersRecommendations to increase social distancing may af- n

fect community functioning Because supply chain issues may be affected make sure you have plans for back-up suppliers

CONSIDER CANCELINg NON-ESSENTIAL BuSINESS TRAVEL AND ADVISINg EMPLOYEES ABOuT POSSIBLE DISRuPTIONS WHILE TRAVELINg OVERSEAS

If the severity of the outbreak worldwide increases in the n

fall or winter public health officials may recommend so-cial distancing strategies which include canceling non-es-sential travel and travel restrictions may be enacted by some countries which may limit the ability of employees to return home if they become ill while on travel statusIf influenza severity increases travelers should also be n

prepared for travel delays health screenings and other activities targeted towards travelers Provide information to travelers about contingency plans and how their travel

can be rebooked for these possible delays

PREPARE FOR SCHOOL DISMISSAL OR CLOSuRE OF CHILD CARE PROgRAMS

school dismissals and closure of child care programs are n

more likely at higher levels of severity Be prepared to allow workers to stay home to care for their children if schools are dismissed or child care programs are closed If dismissal is needed schools are being advised to dis-miss students for at least 5 to 7 calendar days or longer if necessary encourage employees who perform essential functions n

and who have children to plan for contingencies should local child care programs close or schools dismiss stu-dents Be prepared for prolonged absenteeism if schools dismiss n

students for an extended time Make sure your leave poli-cies are flexible and non-punitive employers should strongly recommend that parents not n

bring their children with them to work while schools are dismissedImplement flexible workplace policies like teleworking n

and staggered shifts Cross-train employees to cover essential functions n

Read CDCrsquos school guidance which can be found at n

httpwwwcdcgovh1n1fluschoolsschoolguidancehtm to better understand the conditions under which schools may be dismissed

OTHER CONSIDERATIONSAs part of their comprehensive pandemic planning n

some public and private sector employers have stock-piled or otherwise arranged for influenza antiviral drugs to be available for their employees during a pandemic To guide these efforts HHs released guidance to busi-nesses in 2008 entitled Considerations for Antiviral Drug Stockpiling by Employers in Preparation for an Influenza Pan-demic (httpwwwflugovvaccineantiviral_employershtml) see updated interim guidance on the use of antivi-ral agents for treatment and prophylaxis of 2009 H1n1 in-fluenza infection at httpwwwcdcgovh1n1flurecom-mendationshtmemployers should be aware that the severity of 2009 n

H1n1 influenza could change rapidly therefore local public health recommendations to communities and busi-nesses could be revised quickly Planners should identi-fy sources of timely and accurate information so they are aware of changes to recommendations and can promptly implement revised or additional measures recommended by local public health officials

O C T O B e r 2 0 0 9 | 19

The Florida Pharmacy Association 2009 ResolutionsPresented to the House of Delegates

It is an honor to serve as your 2009-2010 FPA speaker of the House of Delegates I have the privilege of follow-ing in the footsteps of some of FPArsquos most effective and prominent leaders and speakers including most recently suzanne Kelly

The House meeting held during the 2009 FPA An-nual Meeting in st Augustine was a lively and exciting meeting for our association If you missed the meeting or unaware of how the FPA House of Delegates serves itrsquos membership I strongly encourage you to contact myself directly or any of the FPA House of Delegates Board of Di-rectors Any one of us will be happy to get you involved and excited about this group and share with you how ev-ery resolution directly impacts the direction of the associ-ation and you its member

The FPA Board of Directors of the House of Delegates is made up of the following faithful memberssuzanne Kelly ndash Chair of the House of Delegates Board

of DirectorsAlexander Pytlarz ndash speaker of the House of DelegatesWilliam Riffee ndash Vice-speakershannon Zandy ndash DirectorCaridad Ferree ndash DirectorJosh Fields ndash Director Karen Whalen ndash FPA PresidentHumberto Martinez ndash FPA President-electMichael A Mone ndash ParliamentarianMichael A Jackson ndash FPA executive Vice President amp

Ceoon behalf of the House Board of Directors Irsquod like to

welcome the newest members of the House Board of Di-

rectors Dean William Riffee Vice-speaker and Caridad Ferree Director were elected at this years FPA Annual Meeting We look forward to their involvement

The House also had the privilege of introducing two new invited organizations to the House They are nige-rian Pharmacists Association and Florida Independent Pharmacy network

If any member represents an organization that wants to be involved in the House of Delegates please contact me directly I will be happy to work with you and your or-ganization so you are represented within the House and have your voice heard by all FPA members

At this past yearrsquos meeting the House reviewed eight submitted resolutions Below is a summary of the actions of the each resolution that the House took and to what committee the adopted resolutions were referred to by your President Karen Whalen Please review these reso-lutions as they will impact the policies and direction of our association If you have any comments or questions please feel free to contact me or any member of the House Board As always itrsquos never too early to start thinking about possible resolutions for next years House

Thank you for the opportunity to serve you and the Florida Pharmacy Association

Best regards

Alexander Pytlarz2009-2010 speaker of the House of Delegates

RESOLUTION 1

Pharmacy Manager in Charge Man-date rule changes for the State require to be on-site 24 hr perweekBroward County Pharmacist Associa-tion

Whereas There is no statutory or rule requirement for a Manager in Charge to be present in the Pharmacy

Whereas over the last few years in-ternet practices and non-pharmacist owned pharmacies have flourished in practice settings that were poorly su-pervised

Be it Resolved that the FPA propose that the Florida Pharmacy Board pro-mulgate rules which safeguard the public by having a Responsible par-ty (Pharmacy Manager of Record) on

premises 24 hrs per given week

Contact Broward County Pharmacist AssocDaniel P sweet RPhPast President Board Member954-232-8202

Intent To protect the public from non-pharmacist owners to influence the practice of pharmacy by placing a phar-

20 | f L O r i d a p h a r m a C y T O d a y

macist on record without reviewing the day to day operations of Pharmacy Practice and its Rules and statues

Resolution not Adopted

Respectfully submitted

Broward County Pharmacist Associa-tion

RESOLUTION 2

Repeal 40 hr Rule for Community Pharmacy PermitBroward County Pharmacist Associa-tion

Whereas the Practice of Pharmacy is evolving to an Information Profession where pharmacists will be reviewing medication therapy

Whereas in populated areas there are multiple pharmacies in a compact radi-us

Be it Resolved that the Florida Board of Pharmacy act in repealing the 40 hr rule for Community Pharmacy Permit withstanding that there is a pharmacy within 5 miles with extended hours or a 24 hr pharmacy within 2 miles

Contact Daniel P sweet RPhPast President Board Member Broward County Pharmacist Assoc954-232-8202

Intent With Pharmacy Practice evolv-ing with more Pharmacists are going to use there education to create office type practice The Pharmacist will need to be off-site to review medications and council patients on the use of their medication

Respectfully submittedBroward County Pharmacist Associa-tion

Motion to amendAmendment passedspeaker unable to determine the posi-

tion of the House on voice votestanding vote called for by the House speakerResolution adopted on standing vote

RESOLUTION 3

Physician Dispensing ndash Limiting Scope as Pertains to Controlled Sub-stancesBroward County Pharmacists Associa-tion

Whereas a significant problem regard-ing the misuse of controlled substances in our state has been identified and

Whereas the checks and balances that the pharmacist brings to the equation of reducing the potential for misuse of controlled substances due to conflicts of interest is circumvented in the phy-sician dispensing model

Be it Resolved that the FPA seek legis-lative changes to limit the in-office dis-pensing of controlled substances up to and not more than a three (3) day sup-ply Contact Broward County Pharmacists AssociationDaniel P sweet RPhPast President Board Member954-232-8202

Motion to amend the phrase ldquowork with the respective BoardsrdquoAmendment is adoptedMotion to amend by adding the words ldquouprdquo and the words ldquoand not more thanrdquo to the first sentenceMotion to amend passesMotion to amend by striking the last sentence of the resolveMotion to amend passesResolution Adopted

Intent With the advent of Pain Man-agement Clinics with Dispensaries Pa-tient safety and control is lost by not having a Pharmacist oversee the pa-tientsrsquo therapeutic management with-in the guidelines of the FDA and Con-trolled substance Abuse Act

RESOLUTION 4

Pharmacy Service TaxBroward County Pharmacists Associa-tion

Whereas Pharmacy has assumed the burden of absorbing the costs associat-ed with receiving and sending data to all sources

Whereas these costs continue to grow and are not associated with the cost of the product or filling fee received then

Be it Resolved that the FPA work with the proper legislative process for the state to create a TAX for prescriptions to cover all communication costs inher-ent in Rx processing for e-prescribing communications to PBMrsquos and data re-porting costs for handling in-state re-porting of Controlled substances

Be it Further Resolved that the col-lected tax be used only for Pharmacy Claims Administrative Costs in han-dling the claims and bear no economic andor administrative burdens on the pharmacy

Resolution not Adopted

Contact Broward County Pharmacists AssociationDaniel P sweet RPhPast President Board Member954-232-8202

Intent With greater dependency on data network and associated costs to all pharmacies we have been placed in a pinch With the state controlling the process we gain on many fronts First no back-end costs on any Rx claim next the state can legally charge PBMrsquos un-der contract and will be responsible for collecting the tax and lastly the state can use their collective bargain-ing power to reduce the costs associat-ed with data transmission

Respectfully submitted

Broward County Pharmacists Associa-tion

O C T O B e r 2 0 0 9 | 21

RESOLUTION 5

RPh Not a Degree Designationleon County Pharmacy Association

WHEREAS pharmacists with a PharmD degree very proudly and rightfully use their degree designation of PharmD with their name and

WHEREAS pharmacists with a BsP degree generally use RPh with their name and

WHEREAS the designation of RPh for Registered Pharmacist is not a degree designation and was enacted into the original Florida Pharmacy Practice Act of 1889 The current practice act defines a pharmacist as a licensed Pharmacist lPh

THEREFORE the leon County Phar-macy Association moves that the FPA promote the use of the BPharm desig-nation for the BsP degree in place of the RPh designation which no longer is ref-erenced in the Florida Pharmacy Prac-tice Act

Motion to amendMotion to amend failsResolution Adopted

Contact persons Michael A Jackson- (850) 222- 2400Jim Powers- (850) 422- 0079

Background The resolution pretty well speaks for itself however it should be noted that in most national pharmacy publications pharmacists with a BsP degree are using the BPharm designa-tion behind their names In research-ing Dr Gene Gramlingrsquos book ldquoA His-tory of Pharmacy in Floridardquo it has the Florida Pharmacy Practice Act of 1889 which reads as follows section 4 Be it further enacted that the Board of Phar-macy shall register in a suitable book the names and places of residence of all persons to whom they issue certifi-cates and dates thereof It shall be the duty of said Board of Pharmacy to reg-ister without examination as registered pharmacists all pharmacists and drug-gists who are engaged in business in

the state of Florida at the passage of this act as owners or principals of stores or pharmacies In any village town or city of more than 200 inhabitants helliprdquo

RESOLUTION 6

Long Term Care regulatory frame-workFlorida Chapter of American society of Consultant Pharmacist

Whereas the Florida regulatory frame-work for long-term care pharmacy should be reviewed periodically to en-sure that it is consistent with current practice the FPA legislative commit-tee resolves to coordinate with the Flor-ida Chapter of the American society of Consultant Pharmacists to review the current regulatory framework for long-Term Care pharmacy in Florida

Resolved that the FPA legislative Committee coordinate with the Flori-da Chapter of the American society of Consultant Pharmacists to review the current regulatory framework for long-Term Care Pharmacy in Florida

Resolve substituted by the sponsor and accepted by the House substitute Resolution Adopted

Contact name and Phone stephen J Grabowski (727) 945-0760

Problem As the number of our nationrsquos seniors has grown so to have the de-mands and challenges placed upon the pharmacists serving those seniors who live in long-term care facilities since the practice of pharmacy has evolved over the years with increased workload demands changing roles of pharmacy technicians and new technologies so too have the regulatory guidelines and oversight responsibilities of the state boards

Intent not only will the practice of pharmacy need to adapt to the needs of seniors in long-term care facilities but state board of pharmacies and phar-macists under their preview must un-

derstand the impact of these changes Pharmacists practicing in long-term care must collaborate with state boards of pharmacy to update practice acts to ensure the protection of the health safety and welfare of the public

RESOLUTION 7

Evaluation of the ldquoPedigree Docu-mentation Programrdquo as stated in Flor-ida Statue 499Alachua County Association of Phar-macists

Whereas Florida statue 499 states that its purpose is to safeguard the public health and promote the public welfare by protecting the public from injury by product use and by merchandising de-ceit involving drugs devices and cos-metics

Whereas Pharmacies Pharmacists Pharmacy Wholesalers Pharmaceuti-cal Manufacturers and Pharmacy Re-packagers are all an integral part of this program

Whereas there is financial costs associ-ated with this program

Whereas there are penalties associated with this program

RESOLVED - The FPA request the Agency for Health Care Administra-tion to evaluate the ldquoPedigree Docu-mentation Programrdquo (49901212) to de-termine effectiveness and identification of improvements in the program for the protection of the public safety

Problem - The state of Florida enact-ed the ldquoPedigree Documentation Pro-gramrdquo (49901212) to keep adulterated and misbranded pharmaceuticals from consumers

Intent - To determine the effectiveness of the ldquoPedigree Documentation Pro-gramrdquo in achieving its purpose

Resolution Adopted

22 | f L O r i d a p h a r m a C y T O d a y

sion forward Please join us in Talla-hassee next March

FPA Legislative Key Contact Network

The FPA legislative Committee would like to match up at least one pharmacist with every key legisla-tor in the state If you currently have a relationship with one of your state legislators or if you are willing to take the steps listed above to be one of our grassroots advocates we want to know sign up to be a member of our Key legislative Contacts If you can help please let us know by con-tacting any member of the legisla-tive Committee listed below or you may contact me directly at klwizcomcastnet

lastly your legislative Commit-tee deserves a BIG ldquoThank Yourdquo for their time and effort These mem-bers have stepped up to help our profession grow and prosper Fol-lowing is a list of the members of the 2009-2010 FPA legislative Commit-teeDavid AndrewsDon BergemannGary DalinMitchell FingerhutAmy FerrolRamy GabrielMark HobbsMichael JacksonHumberto MartinezMark PercifieldManny PrieguezAlexander PytlarzTeysha RichardsonWilliam RiffeeTheresa Tollenorman TomakaAmanda Waltemathlori WeemsKaren WhalenRobert WilburChristine Yocum

Ken Wisniewski2009-2010 legislative Committee Chair

Viewpoint continued from page 5Respectfully submitted

Alachua County Association of Phar-macists

RESOLUTION 8

Continuous quality Improvement Program-Program EvaluationAlachua County Association of Phar-macists

Whereas the CQI Program is a system of standards and procedures to identify and evaluate quality-related events and improve patient care

Whereas some of the main goals of FPA and the Board of Pharmacy is to improve patient care and safety

Whereas an evaluation of the CQI Pro-gram may identify improvements that could be incorporated into the pro-gram

Whereas information about patient safety practices obtained from the pro-gram evaluation would be helpful if shared with the pharmacists of Florida and the nation

Resolved that the FPA request the Flor-ida Board of Pharmacy to conduct a Program evaluation of the Continuous Quality Improvement Program (64B16-27300)

Problem- since the enactment of 64B16-27300 Continuous Quality Improve-ment (CQI) Program there has not been a program evaluation

Intent- The evaluation of the CQI Pro-gram for effectiveness

Respectfully submittedAlachua County Association of Phar-macists

Resolution Adopted

JOIN TODAY

Florida Pharmacy Association

O C T O B e r 2 0 0 9 | 23

RESOLUTION 1Pharmacy Manager in Charge Man-date rule changes for the State require to be on-site 24 hr perweekBroward County Pharmacist Associa-tion Whereas There is no statutory or rule requirement for a Manager in Charge to be present in the PharmacyWhereas over the last few years in-ternet practices and non-pharmacist owned pharmacies have flourished in practice settings that were poorly su-pervisedBe it Resolved that the FPA propose that the Florida Pharmacy Board pro-mulgate rules which safeguard the public by having a Responsible par-ty (Pharmacy Manager of Record) on premises 24 hrs per given weekContact Broward County Pharmacist AssocDaniel P sweet RPhPast President Board Member954-232-8202Intent To protect the public from non-pharmacist owners to influence the practice of pharmacy by placing a phar-macist on record without reviewing the day to day operations of Pharmacy Practice and its Rules and statuesResolution Not AdoptedRespectfully SubmittedBroward County Pharmacist Associa-tion

RESOLUTION 2

Repeal 40 hr Rule for Community Pharmacy PermitBroward County Pharmacist Associa-tion Whereas the Practice of Pharmacy is evolving to an Information Profession where pharmacists will be reviewing medication therapyWhereas in populated areas there are multiple pharmacies in a compact radi-usBe it Resolved that the Florida Board of Pharmacy act in repealing the 40 hr rule for Community Pharmacy Permit withstanding that there is a pharmacy within 5 miles with extended hours or a 24 hr pharmacy within 2 milesContact

Daniel P sweet RPhPast President Board Member Broward County Pharmacist Assoc954-232-8202 Intent With Pharmacy Practice evolv-ing with more Pharmacists are going to use there education to create office type practice The Pharmacist will need to be off-site to review medications and council patients on the use of their medicationRespectfully SubmittedBroward County Pharmacist Associa-tion Motion to amendAmendment passedSpeaker unable to determine the posi-tion of the House on voice voteStanding vote called for by the House SpeakerResolution adopted on standing vote

RESOLUTION 3

Physician Dispensing ndash Limiting Scope as Pertains to Controlled Sub-stancesBroward County Pharmacists Associa-tionWhereas a significant problem regard-ing the misuse of controlled substances in our state has been identified andWhereas the checks and balances that the pharmacist brings to the equation of reducing the potential for misuse of controlled substances due to conflicts of interest is circumvented in the phy-sician dispensing model Be it Resolved that the FPA seek legis-lative changes to limit the in-office dis-pensing of controlled substances up to and not more than a three (3) day sup-ply Contact Broward County Pharmacists Associa-tionDaniel P sweet RPhPast President Board Member954-232-8202Motion to amend the phrase ldquowork with the respective BoardsrdquoAmendment is adoptedMotion to amend by adding the words ldquouprdquo and the words ldquoand not more thanrdquo to the first sentenceMotion to amend passes

Motion to amend by striking the last sentence of the resolveMotion to amend passesResolution AdoptedIntent With the advent of Pain Man-agement Clinics with Dispensaries Pa-tient safety and control is lost by not having a Pharmacist oversee the pa-tientsrsquo therapeutic management with-in the guidelines of the FDA and Con-trolled substance Abuse Act

RESOLUTION 4

Pharmacy Service TaxBroward County Pharmacists Associa-tionWhereas Pharmacy has assumed the burden of absorbing the costs associat-ed with receiving and sending data to all sourcesWhereas these costs continue to grow and are not associated with the cost of the product or filling fee received thenBe it Resolved that the FPA work with the proper legislative process for the state to create a TAX for prescriptions to cover all communication costs inher-ent in Rx processing for e-prescribing communications to PBMrsquos and data re-porting costs for handling in-state re-porting of Controlled substancesBe it Further Resolved that the col-lected tax be used only for Pharmacy Claims Administrative Costs in han-dling the claims and bear no economic andor administrative burdens on the pharmacyResolution Not AdoptedContact Broward County Pharmacists Associa-tionDaniel P sweet RPhPast President Board Member954-232-8202Intent With greater dependency on data network and associated costs to all pharmacies we have been placed in a pinch With the state controlling the process we gain on many fronts First no back-end costs on any Rx claim next the state can legally charge PBMrsquos un-der contract and will be responsible for collecting the tax and lastly the state can use their collective bargain-ing power to reduce the costs associat-

EmailFax Network HotlineReceive up-to-date and up-to-the-min-ute information on legislative Develop-ments Board of Pharmacy changes and other topics affecting the profession of pharmacy Call FPA Member services at (850) 222-2400 ext 110 ndash rsimmonspharmviewcom

Tax ResourceProvides defense and protection of your assets when you are audited Tax Resource will defend their clients for any income tax audit Federal or state for any tax year Tax Resource pio-neered the tax audit service business and is the largest audit defense firm in the United states Call (800) 92-AUDIT (800-922-8348)

Atlantic Coupon Redemption Center Receive payment in 25 working days of couponrsquos face value plus a rebate of 16 cents based on store volume Call Meredith McCord (800) 223-0398

Florida Commerce Federal Credit Union The chief objective of a credit union is not generating profits for stockholders but to provide service to its member The members benefit by getting attrac-tive returns on savings loans made at fair rates of interest plus enhanced and expanded services This is probably one of the best deals around Call (850) 488-0035

Collection Services For past due accounts call I C system Inc Call (800) 328-9595

Other Member Benefits n Discounted Continuing education

Programsn Monthly Issues of the Florida Phar-

macy Today Journal

ITC Deltacom offering FPA members exclusive associa-tion discounts on telecommunication ser-vices including local services long dis-tance data networks telephone systems and dedicated internet access Call 850-701-3200 or visit wwwitcdeltacomcom

Pharmacy Resource Materials FPA provides the most recent and rele-vant resources necessary to meet your professional needs This includes the Continuous Quality Improvement Manu-al Controlled substance Inventory Book-lets and Pharmacy signs Please call FPA Members services for more information 850-222-2400 ext 110

FPA Website Visit our FPA Website at wwpharmviewcom The site launched in December 2004 and revised in october 2008 includes a members only section The website of-fers a secure server so that you can reg-isters for Ce programs renew your mem-bership or purchase resources materials with your credit card

in keeping with a tradition of offering our members real benefits the Florida Pharmacy association (FPa) is proud to announce the introduction of sponsored discount Benefits Program these vendors are dedicated to providing an excellent value to all FPa members and associates to take advantage of benefits contact the vendors directly at the numbers listed below and identify yourself as a FPa member and have your membership id number handy

MEMBERSHIP MATTERS

Florida Pharmacy Association

24 | f L O r i d a p h a r m a C y T O d a y

Wyeth Bowl of Hygeia

Awarded to a pharmacist for out-standing community service above and beyond professional duties The use of the following selection criteria is re-quired

The recipient must be a Florida li- n

censed pharmacist and a member of FPAThe recipient must be living Awards n

are not presented posthumouslyThe recipient has not previously re- n

ceived the awardThe recipient is not currently serving n

nor has heshe served within the immediate past 2 years on its award committee or an officer of the asso-ciation in other than an ex officio ca-pacityThe recipient has compiled an out- n

standing record of community ser-vice which apart from hisher spe-cific identification as a pharmacist reflects well on the profession

James H Beal Award

Awarded to the Pharmacist of the Year The criteria established for this award is that the recipient be a Flori-da registered pharmacist and a mem-ber of FPA who has rendered outstand-ing service to pharmacy within the past five yearsCriteria

The recipient must be a Florida reg- n

istered pharmacist and a member of the FPAThe recipient has rendered outstand- n

ing service to pharmacy within the past five years

Technician of the Year AwardAwarded annually to a Florida

pharmacy technician who is recog-nized for hisher outstanding perfor-mance and achievement during hisher career

Criteria

Candidate must be a member of n

the Florida Pharmacy Association for at least 2 yearsCandidate must have demonstrat- n

ed contributions and dedication to the advancement of pharmacy technician practiceCandidate must have demonstrat- n

ed contributions to the Florida Pharmacy Association andor oth-er pharmacy organizationsCandidate must have demonstrat- n

ed commitment to community ser-viceCandidate is not a past recipient of n

this award

RQ Richards Award

This award is based on outstanding achievement in the field of pharmaceu-tical public relations in FloridaCriteria

The recipient must be a Florida reg- n

istered pharmacist and a member of the FPAThe recipient has displayed out- n

standing achievement in the field of pharmaceutical public relations in Florida

Frank TobackAZO Consultant

Pharmacist Award

CriteriaCandidate must be an FPA member n

registered with the Florida Board of Pharmacy as a consultant pharma-cist in good standingCandidate should be selected based n

on their outstanding achievements in the field of consultant pharmacy

DCPA Sidney Simkowitz

Pharmacy Involvement Award

Presented annually to a Florida pharmacist who has been active at the local and state pharmacy association level in advancement of the profes-sion of pharmacy in Florida

CriteriaA minimum of five years of active n

involvement in and contributions to the local association and FPACandidate must have held office at n

local level pharmacy associationMember in good standing for a pe- n

riod of at least five years in the FPA and must have served as a member or chairman of a committee of the associationCandidate must have been active- n

ly involved in a project that has or could potentially be of benefit to members of the profession

Pharmacists Mutual Companies

Distinguished Young Pharmacist

Award

Awarded to a young pharmacist for their involvement and dedication to the practice of pharmacyCriteria

licensed to practice for nine (9) years n

or lesslicensed to practice in the state in n

which selectedParticipation in national pharmacy n

association professional programs andor community service

IPA Roman Maximo Corrons

Inspiration amp Motivation Award

Interamerican Pharmacists Association created this award to honor the memo-ry of Roman M Corrons who inspired and motivated countless pharmacists to participate actively and aspire to take on leadership roles in their profession Roman was always there with guidance and support that motivated pharma-cists and encouraged visionary leader-ship approachable active membership and succession planning This award recognizes the motivators among us who inspire others to continue to ad-vance the professionCriteria

C a L L f O r N O m i N a T i O N s F P A A W A R D S 2 0 0 9 - 2 0 1 0

O C T O B e r 2 0 0 9 | 25

DEADLINE FOR NOMINATIONS FEBRUARY 28 2010

The recipient must be a Florida li- n

censed Pharmacist and a member of the FPACandidate should motivate others n

to excel within the profession by en-couraging them to be leadersCandidate is not necessarily an as- n

sociation officer but guides sup-ports andor inspires others

A brief description on the candidatersquos motivationalinspirational skills must accompany the nomination

The Jean Lamberti

Mentorship Award

The Jean lamberti Mentorship Award was established in 1998 to hon-or those pharmacists who have taken time to share their knowledge and ex-

perience with pharmacist candidates The award is named in honor of long time FPA member Jean lamberti for her effort in working with pharmacy studentsCriteria

The recipient must be an FPA mem- n

berThe recipient must serve as a role n

model for the profession of pharmacy

Innovative Pharmacy Practice

Award

Awarded to honor practicing phar-macists who have demonstrated inno-vation in pharmacy practice that has resulted in improved patient careCriteria

The recipient has demonstrated inno- n

vative pharmacy practice resulting in improved patient careThe recipient should be a practic- n

ing pharmacist within the geograph-ic area represented by the presenting Association

Qualified nominee A pharmacist prac-ticing within the geographic area repre-sented by the presenting Association

I AM PLEASED TO SUBMIT THE FOLLOWING NOMINATION

Name

Address

FOR THE FOLLOWING AWARD

(Nomination Deadline February 28 2009)

Wyeth Bowl of Hygeia Award

James H Beal Award

RQ Richards Award

Frank TobackAZO Consultant Pharmacist Award

DCPA Sydney Simkowitz Award

Pharmacists Mutual Co Distinguished Young Pharmacist Award

Academy of Pharmacy Practice Practitioner Merit Award

The Jean Lamberti Mentorship Award

IPA Roman Maximo Corrons Inspiration amp Motivation Award

Innovative Pharmacy Practice Award

Technician of the Year Award

NOMINATED BY

Name

Date Submitted

Signature

Please describe briefly below the nominees accomplishments indicating why you feel he or she should receive this award (Attach additional sheets if necessary)

C a L L f O r N O m i N a T i O N s F P A A W A R D S 2 0 0 9 - 2 0 1 0

F P A A W A R D S N O M I N A T I O N F O R M

mail nominatons to annual awards Florida Pharmacy association 610 n adams st tallahassee Fl 32301(850) 222-2400 FaX (850) 561-6758 dEadlinE For nominations is FEBrUary 28 2010

26 | f L O r i d a p h a r m a C y T O d a y

CALL FOR RESOLUTIONS TO THE 2010 HOUSE OF DELEGATES

The House of Delegates Board of Directors will meet in March 2010 to review and approve resolu-tions for the Annual Meeting The deadline for submitting resolutions is March 15 2010 PleAse noTe THIs DeADlIne

The following information will be needed when submitting resolutions

1 name of organization The name of the organization submitting the resolutions(s)2 name and telephone number of individuals A contact in the event clarification or further in-

formation is needed 3 Problem A statement of the problem addressed by the resolution4 Intent A statement of what passage of the resolution will accomplish5 Resolution Format (please type and use double spacing)

TiTle of ResoluTion

name of oRganizaTion

WheReas and

WheReas

TheRefoRe be iT

Resolved (ThaT The fPa oR subdivision of fPa)

ConTaCT name and Phone

PRoblem

inTenT

Page 2: October 2009 Florida Pharmacy Journal

PHARMACY RESOURCES

PPSCRetail PhaRmacy PuRchasing PRogRam

(888) 778-9909

PHARMACY CONSULTANTS

HCC Pharmacy Business SolutionsBoB milleR

(800) 642-1652

INSURANCE

MeadowbrookWoRkeRs comP insuRance endoRsed By FPa(800) 825-9489

LEGAL ASSISTANCE

Kahan Shir PLBRian a kahan RPh and attoRney at laW

(561) 999-5999

PHARMACEUTICAL WHOLESALER

McKesson Drug CompanyJim sPRingeR

(800) 804-4590 FaX (863) 616-2953

TEMPORARY PHARMACISTS ndash

STAFFING

HealthCare Consultants Pharmacy StaffingBoB milleR

(800) 642-1652

Medical Staffing Network(800) 359-1234

Rx Relief(800) RXRelieF

Buyerrsquos GuideADVERTISERS This is a special section designed to give your company more exposure and to act as an easy reference for the pharmacist

P H A R M A C Y T O D A Yflorida

Advertising in Florida Pharmacy TodayDisplay Advertising please call (850) 264-5111 for a media kit and rate sheet Buyersrsquo Guide A signed insertion of at least 3X per year 13 page or larger display ad earns a placement in the Buyersrsquo Guide A screened ad is furnished at additional cost to the advertiser Professional Referral Ads FPA Members $50 per 50 words Non-members $100 per 50 words No discounts for advertising agencies All Professional Referral ads must be paid in advance at the time of ad receipt

Support Our Advertisers Use the ldquoBuyerrsquos Guiderdquo

AHCA MEDICAID PHARMACY SERVICES2727 Mahan Drive

Tallahassee FL 32308(850) 487-4441wwwfdhcstateflusmedicaidpharmacy

AMERICAN PHARMACISTSASSOCIATION (APhA)Washington DC (800) 237-2742wwwaphanetorg

AMERICAN SOCIETY OF HEALTH SYSTEM PHARMACISTSBethesda MD (301) 657-3000wwwashpcommainhtm

DRug INFORMATION CENTERPalm Beach Atlantic University(561) 803-2728druginfocenterpbaedu

FLORIDA BOARD OF PHARMACY4052 Bald Cypress WayBin C04

Tallahassee FL 32399-3254(850) 245-4292wwwdohstateflusmqa

FLORIDA POISON INFORMATION CENTER NETWORK1-800-282-3171httporaumcufledupccfpicjaxhtm

NATIONAL COMMuNITY PHARMACISTS ASSOCIATION 100 Daingerfield Road Alexandria VA 2231470368382007036833619 faxinfoncpanetorg

RECOVERINg PHARMACISTS NETWORK OF FLORIDA(407) 257-6606 ldquoPharmacists Helping Pharmacistsrdquo

FREQUENTLY CALLED NUMBERS

O C T O B e r 2 0 0 9 | 3

VOL 72 | NO 10OCTOBer 2009 The OffiCiaL puBLiCaTiON Of ThefLOrida pharmaCy assOCiaTiONP H A R M A C Y T O D A Y

florida

Departments 2 Buyerrsquos Guide

4 Calendar

4 advertisers

5 presidentrsquos Viewpoint

7 executive insight

Features2009 h1N1 flu situation updateKey Flu Indicators

The florida pharmacy association 2009 resolutionsPresented to the House of Delegates

City of Tallahassee declares October as american pharmacists month

10

18

14

4 | f L O r i d a p h a r m a C y T O d a y

E-MAIL YOUR SUGGESTIONSIDEAS TO

davefiorecommunicationscom

Mission Statementsof the florida pharmacy Today JournalThe Florida Pharmacy Today Journal is

a peer reviewed journal which serves as a

medium through which the Florida Phar-

macy Association can communicate with

the profession on advances in the sciences of

pharmacy socio-economic issues bearing on

pharmacy and newsworthy items of interest

to the profession As a self-supported journal

it solicits and accepts advertising congruent

with its expressed mission

of the florida pharmacy Today Boardof directors The mission of the Florida Pharmacy Today

Board of Directors is to serve in an advisory

capacity to the managing editor and execu-

tive editor of the Florida Pharmacy Today Journal in the establishment and interpreta-

tion of the Journalrsquos policies and the manage-

ment of the Journalrsquos fiscal responsibilities

The Board of Directors also serves to motivate

the Florida Pharmacy Association members

to secure appropriate advertising to assist the

Journal in its goal of self-support

AdvertisersHeAlTHCARe ConsUlTAnTs 3KAHAn sHIR Pl 11

MeDICAl sTAFFInG 12PHARMACY PRoVIDeR

seRVICes (PPsC) 13Rx RelIeF 11

2009

FPA Calendar NOvEMBER

7-8 FPa committee and council meetings

Marriott Orlando Downtown

11 VeteRans day - FPa oFFice closed

13-15 nasPa Fall symPosium

Naples Florida

17-20 ascP senioR caRe PhaRmacy meeting

Anaheim California

26-27 thanksgiVing FPa oFFice closed

DECEMBER

5-6 saRasota laW conFeRence

Hyatt Regency at Sarasota Bay

8-9 BoaRd oF PhaRmacy meeting

Jacksonville

6-10 ashP midyeaR Regional conFeRence

Las Vegas NV

24-25 chRistmas holiday - FPa oFFice closed

JANUARY

1 neW yeaRs - FPa oFFice closed

30-31 FPa laW amp RegulatoRy conFeRence

Sandestin FL

31 election Ballots due

FEBRUARY

28 aWaRds nomination deadline

MARCH

2 FloRida legislatiVe session Begins

12 -15 aPha annual meeting

Washington DC

23 - 25 PhaRmacy legislatiVe day at the FloRida caPital

24 FloRida PhaRmacists health FaiR

27 - 28 FPa committee and council meetings and BoaRd oF diRectoRs

CE CREDITS (Ce cycle)The Florida Board of Pharmacy requires 10 hours lIVe Continuing education as part

of the required 30 hours general education needed every license renewal periodPharmacists should have satisfied all continuing education requirements for this

biennial period by september 30 2011 or prior to licensure renewalFor Pharmacy Technician Certification Board Application exam Information and

study materials please contact Ranada simmons in the FPA officeFor More Information on Ce Programs or eventsContact the Florida Pharmacy Association at (850) 222-2400 or visit our Web site at

wwwpharmviewcom

CONTACTSFPA mdash Michael Jackson (850) 222-2400FsHP mdash Michael McQuone (850) 906-9333UF mdash Dan Robinson (352) 273-6240FAMU mdash leola Cleveland (850) 599-3301nsU mdash Carsten evans (954) 262-1300

DISCLAIMER Articles in this publication are designed to provide accurate and authoritative information with respect to the subject matter covered This information is provided with the under-standing that neither Florida Pharmacy Today nor the Florida Pharmacy Association are engaged in rendering legal or other professional services through this publication If expert assistance or legal advice is required the services of a competent professional should be sought The use of all medications or other pharmaceutical products should be used according to the recommendations of the manufacturers Information provided by the maker of the product should always be consulted before use

For a complete calendar of events go to wwwpharmviewcom

O C T O B e r 2 0 0 9 | 5

Almost every day you hear more about health care reform And today is no exception It is crit-

ical that pro-pharmacy issues be in-cluded in health care reform There-fore in mid-september FPA executive Vice President and Ceo Michael Jack-son and APhA President (and former FPA President) ed Hamilton traveled to Washington DC to do strategic vis-its on Capitol Hill They worked togeth-er with pharmacists from other states to inform the legislators of the benefits of pharmacist-provided MTM services and to support MTM provisions in the current health care reform proposals

In addition to all the changes on the national health care horizon Florida is

also looking at many other legislative issues that could affect the practice of pharmacy in our own state The Flori-da Pharmacy Association will be keep-ing a close watch on these issues for you this year

In July the FPA legislative Commit-tee met to determine a priority list of is-sues that need to be addressed during the 2010 legislative session The list is provided below with the caveat that priorities andor items may change if unforeseen issues that affect pharmacy arise during the legislative session The list of legislative priorities for the Flor-ida Pharmacy Association for the com-ing year is as follows1 PBM legislation The committee

has recommended this as the no 1 priority This is a national issue that will be difficult to advance in the current Florida legislature We will work to develop language for a bill to be introduced

2 Medicaid Appropriations This is-sue is always on our agenda last year we were faced with multiple reductions but were able to mini-mize the financial impact on phar-macy Will Medicaid reductions once again be an issue in 2010 We believe it is necessary to be pre-pared

3 Anti-substitution of epilepsy and immunosuppressant drugs This topic continues to be an item of dis-cussion around the country A study group that will look at phar-macists interchanging these pre-scription drugs has yet to meet but there may be more to come regard-ing this issue

4 Adequate funding for state pharma-cy schools This item will be moni-

legislative Update 2009-2010Have You Heard

The Presidentrsquos ViewpointBY GUEST COLUMNIST KEN WISNIEWSKI 2009-2010 LEGISLATIvE COMMITTEE CHAIR

Ken Wisniewski2009-2010 Legislative Committee Chair

6 | f L O r i d a p h a r m a C y T O d a y

The Florida Pharmacy Association gratefully acknowledges the hard work and dedication of the following members of the FPA leadership who work deligently all year long on behalf of our members

Norman Tomaka Chairman of the Board of DirectorsKaren Whalen FPA PresidentDon Bergemann TreasurerAlexander Pytlarz Speaker of the House of DelegatesDean William Riffee Vice Speaker of the House of DelegatesAlexander Pytlarz Speaker Elect Preston McDonald Director Region 1Marcus Dodd-o Director Region 2Al Tower Director Region 3 Raul N Correa Interim Director Region 4 John Noriega Director Region 5 Chris Lent Director Region 6Kim Murray Director Region 7Joy Marcus DirectorRegion 8Ayala Fishel Director Region 9Peter Iafrate President FSHPMichael Jackson Executive Vice President and CEO

Florida Pharmacy Today Journal Board

Chair Designate Betty Harris beejpharmgmailcomTreasurer Stephen Grabowski sgrabowskiseniormmccomSecretary Stuart Ulrich StuarxaolcomMember Joseph Koptowsky docjik1215aolcomMember Jennifer Pytlarz jlc_rxdochotmailcomExecutive Editor Michael Jackson mjacksonpharmviewcomManaging Editor Dave Fiore davefiorecommunicationscom

20092010 FPA Board of Directors tored When requested by the uni-versities we will support them on this issue

Seeking Grassroots AdvocatesWho makes the decisions that will

affect our profession Yes the legisla-tors would be one answer but the best answer is YoU

Have you heard that if you do not stand up and speak for pharmacy that you are leaving the decisions to our leg-islators Do you know your state legis-lators Have you spoken to yours It is important that they know who you are and what you stand for successful leg-islative efforts require a lot of work spe-cifically networking We are asking all pharmacists to join those already work-ing on your behalf

Getting Started1 send an email and then call your

state legislator to introduce yourself and show your passion for pharma-cy

2 set an appointment to meet your legislator face-to-face in their home office before December

3 Know the key pharmacy issues so we can present a unified voice

4 Join us and meet your legislator in Tallahassee next March during Flor-ida Pharmacist legislative Days

If you donrsquot know who your rep-resentative is find out by going to the FPA Web site (wwwpharmviewcom) and click on the Advocacy tab to find the link to ldquoWho Are My Florida state legislatorsrdquo

our grassroots effort is how you can make a difference If not you then who is going to educate our represen-tatives If you currently provide a leg-islator or their family with pharmacy services you are in a unique position to foster good will and educate them about what pharmacists can do lever-age what you know by talking to them about their drug therapy and present-ing MTM as a meaningful way to help control health care costs You have a powerful story to tell We hope you will take action and help move the profes-

See Viewpoint continued on page 22

O C T O B e r 2 0 0 9 | 7

Executive InsightBY MICHAEL JACKSON RPH

What is the Value of Professional organizations

These days we are all going to have to watch our spending hab-its and scrutinize which bills get

paid which bills get delayed and which bills we leave in decay While the nation and our state struggle to right them-selves during these challenging eco-nomic times it is no wonder that par-ticipation in membership organizations rise to the top of the scrutiny list

our personal budgets become a list of needs with the number of wants de-clining dramatically Food and shelter are essential expenditures that are not included in the disposable income bud-gets This is followed by transportation communication health care insurance education and training Disposable in-come generally has been used for such things as entertainment vacation gifts and charitable contributions It is with-in this part of our personal budgets that we allocate funds to support our pro-fessional associations and societies

Why sign up for membership in an organization While we each may have our own reasons some of the more ob-vious direct benefits include discounts on offered continuing-education pro-grams general assistance with regula-tory issues and discounts on services provided by the associationrsquos member benefits partners such as car rentals hotel stays and telecommunication ser-vices There also are benefits such as competitive rates on workers compen-sation insurance complimentary access to FPArsquos web based law and regulato-ry information resource and discounts on our controlled substance inventory booklet There also are benefits from re-ceiving breaking information on regu-latory and legislative changes to critical pharmacy rules and laws from news-

letters and the Associationrsquos monthly journal

The FPA has a member retention program called the 1 Club This orga-nization within the FPA is designed for members who believe so much in the Florida Pharmacy Associationrsquos mis-

sion and vision that they are willing to reach out to others to encourage their joining our organization There is a di-rect benefit here in that those members who actively recruit 10 regular mem-bers into the FPA receive a complimen-tary registration at the annual meeting a sporty red blazer and a plaque with recognition for their commitment In addition complimentary registration is awarded for the continued participation each year as an active 1 Club member through the recruitment of three new regular members during each conven-tion year

This is all great information how-ever there are other reasons to support your professional organizations that may not necessarily fall into direct ben-efit categories over the years the ca-reers of pharmacists have blossomed into areas that produced significant personal financial growth Part of this has been through the demand for phar-macist dispensing services the build-ing of many venues requiring licensed pharmacists and the development and advertising of new prescription drugs

This demand for pharmacists though moderating in recent years has created a number of new career options for currently practicing pharmacists as well as for new pharmacy candidates enrolled in our five colleges and uni-versities here in Florida We hope that our members are aware that this pro-fession was advocated for by the Flor-ida Pharmacy Association through the creation of the Board of Pharmacy The purpose was to ensure that only those who qualify should be allowed to prac-tice this profession The intent was also

[The 1 Club] within the FPA is designed for members who believe

so much in the Florida Pharmacy Associationrsquos

mission and vision that they are willing to reach out to others to

encourage their joining our organization

BY MICHAEL JACKSON FPA ExECUTIvE vICE PRESIDENTCEO

Michael Jackson BPharm

8 | f L O r i d a p h a r m a C y T O d a y

Executive Vice PresidentCEOMichael Jackson

(850) 222-2400 ext 200Director of Continuing Education

Tian Merren-Owens ext 120Controller

Wanda Hall ext 211Membership CoordinatorRanada Simmons ext 110

Educational Services Office AssistantStacey Brooks ext 210

FLORIDA PHARMACY TODAY BOARDChair Designate Betty Harris Lighthouse Point Treasurer Stephen Grabowski TampaSecretary Stuart Ulrich Boynton BeachMember Joseph Koptowsky MiamiMember Jennifer Pytlarz BrandonExecutive Editor Michael Jackson TallahasseeManaging Editor Dave Fiore Tallahassee

This is a peer reviewed publication copy2009 FLORIDA PHARMACY JOURNAL INCARTICLE ACCEPTANCE The Florida Phar-macy Today is a publication that welcomes articles that have a direct pertinence to the current practice of pharmacy All articles are subject to review by the Publication Review Committee editors and other outside referees Submitted articles are received with the understanding that they are not being considered by another publication All articles become the property of the Florida Pharmacy Today and may not be published without written permission from both the author and the Florida Pharmacy Today The Florida Pharmacy Association assumes no responsibility for the statements and opinions made by the authors to the Florida Pharmacy Today

The Journal of the Florida Pharmacy Association does not accept for publication articles or letters concerning religion politics or any other subject the editorspublishers deem unsuitable for the readership of this journal In addition The Journal does not accept advertising material from persons who are running for office in the association The editors reserve the right to edit all materials submitted for publication Letters and materials submitted for consideration for publication may be subject to review by the Editorial Review Board

FLORIDA PHARMACY TODAY Annual sub-scription - United States and foreign Indi-vidual $36 Institution $70year $500 single copies Florida residents add 7 sales tax

Florida Pharmacy association

610 N Adams St bull Tallahassee FL 32301850222-2400 bull FAX 850561-6758

Web Address httpwwwpharmviewcom

FPA STAFF

Over half of your dues go into the funding of our advocacy program

to advocate for consumer confidence in the services that we provide and that our profession has individuals with the skills and knowledge to resolve pa-tient medication issues without causing harm

Keep in mind that other benefits in-clude the vast networking opportu-nities to gain knowledge from others within our organization who have de-veloped innovative practices or who have resolved a health care service re-

lated issue While we can learn much from what is published in the phar-macy press there is a wealth of knowl-edge from peer dialog at conferences and leadership meetings

organizations also share informa-tion of interest and value with their members The value of information in todayrsquos competitive world is truly un-derestimated I know of pharmacists who received lucrative promotions from their employer simply because they had information provided to them by their organizations or that no one else had It is no secret that many orga-nizations such as the FPA have active members who have the ability to make decisions whether a pharmacist candi-date has the necessary skills training and commitment to their profession in todayrsquos competitive hiring market

Having been a former district man-ager with responsibility over 58 pre-scription departments in three states I can tell you from experience that I looked carefully at applicants who could demonstrate to me their involve-ment in their growth and development beyond standard classroom internship training and work experience Those who were actively involved in their professional organizations and had the experience of networking and com-municating with consumers and oth-er health care practitioners with ease

generally were at a competitive advan-tage over a pharmacist candidate who could only produce a great transcript and time behind the workbench

Finally simply reporting legislative or regulatory changes to the practice act are not the sole task of professional organizations They also invest a con-siderable amount of resources into ad-vocating for change or revisions to the laws and rules that affect how you pro-vide services to patients as well as de-

fending against policy making that creates professional barriers In many cases the practice evolves beyond state and federal regulations Your profes-sional organizations work to facilitate the change necessary to make sure that the laws are sensible and relevant in to-dayrsquos modern pharmacy practice envi-ronment Then we must be a resource to you to help integrate these changes so that you do not fall out of compli-ance

A portion of our membership will be receiving renewal notices for the January billing cycle We hope that you have found some of the information in this article beneficial and encour-aging enough to invest in your pro-fession over half of your dues go into the funding of our advocacy program The dues paid by our regular members are barely equal to the cost associat-ed with drinking two bottled waters a week We hope that the information in this article encourages you to continue your support for our profession and al-low your dues to be an essential expen-diture Please consider it an investment in your future n

O C T O B e r 2 0 0 9 | 9

The concrete bricks are 4x8 and can be engraved with up to 14 characters per line three lines available spaces and punctuation count as one character Please fi nd enclosed my check for $_________ for _________ bricks

PLEASE PRINT Please charge my Master Card Visa

CARD EXP DATE

AUTHORIZED SIGNATURE

NAME

ADDRESS

CITY STATE ZIP

PHONE (W) (H)

O R D E R F O R M

Send to Florida Pharmacy Foundation 610 N Adams St Tallahassee FL 32301or fax to (850) 561-6758

Contributions to the Florida Pharmacy Foundation are tax deductible as a charitable contribution for federal income tax purposes Consult your CPA for complete details Fed Emp ID 59-2190074

A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE 1-800-435-7352 WITHIN THE STATE REGISTRATION DOES NOT IMPLY ENDORSEMENT APPROVAL OR RECOMMENDATION BY THE STATE

The Walkway of Recognition

YES I want to order _______ concrete bricks at $25000 each (Please copy form for additional inscriptions)

Have you been searching for just the right gift or thought of placing your name in perpetuity If so then consider purchasing an engraved brick for you or someone else

The main sidewalk at the Florida Pharmacy Association needs replacing The Florida Pharmacy Foundation has undertaken the project to repair and beautify the sidewalk with engraved personal bricks purchased by pharmacists or friends of pharmacy

Engraved 4x8 bricks can be purchased for $25000 each with the donorrsquos name engraved (3 lines available) or you could also purchase an engraved brick for someone you feel should be honored or remembered

The monies earned from this project will be used to fulfi ll the goals and future of the Foundation There are a limited number of bricks available ndash so it is fi rst come fi rst served

PLEASE PRINT INSCRIPTION

THE WALKWAY OF RECOGNITION

YOUR NAME HERE

FPA OFFICE

FoundationAdBrickesindd 1 122308 94448 PM

10 | f L O r i d a p h a r m a C y T O d a y

Visits to doctor n s for influenza-like illness (IlI) continued to increase in the United states and overall are higher than levels expected for this time of the year Total influenza n hospitalization rates for laboratory-con-firmed influenza are higher than expected for this time of year for adults and children And for children 5-17 and adults 18-49 years of age hospitalization rates from April ndash october 2009 exceed average flu season rates (for octo-ber through April) The proportion of n deaths attributed to pneumonia and in-fluenza (PampI) based on the 122 Cities Report has increased and now exceeds what is normally expected at this time of year In addition 19 flu-related pediatric deaths were reported this week 16 of these deaths were confirmed 2009 H1n1 and 3 were unsubtyped influenza A and like-ly to be 2009 H1n1 A total of 76 laboratory confirmed 2009 H1n1 pediatric deaths have been reported to CDC since April Thirty-seven states are reporting n widespread influen-za activity at this time They are Alabama Alaska Ari-zona Arkansas California Colorado Delaware Florida Georgia Idaho Illinois Indiana Iowa Kansas Kentucky louisiana Maryland Minnesota Mississippi Missouri nebraska nevada new Hampshire new Mexico new York north Carolina ohio oklahoma oregon Penn-sylvania south Carolina south Dakota Texas Tennes-see Virginia Washington and Wyoming Any reports of widespread influenza activity in september and october are very unusual Almost all of the influenza n viruses identified so far are 2009 H1n1 influenza A viruses These viruses remain similar to the virus chosen for the 2009 H1n1 vaccine and remain susceptible to the antiviral drugs oseltamivir and zanamivir with rare exception CDC Guidance for Businesses and Employers To Plan and Respond to the

2009ndash2010 Influenza Season

IntroductionThe Us Department of Health and Human servicesrsquo

(HHs) Centers for Disease Control and Prevention (CDC) with input from the Us Department of Homeland security (DHs) has developed updated guidance for employers of all sizes to use as they develop or review and update plans to re-

spond to 2009 H1n1 influenza now and during the upcom-ing fall and winter influenza season Businesses and employ-ers in general play a key role in protecting employeesrsquo health and safety as well as in limiting the negative impact of in-fluenza outbreaks on the individual the community and the nationrsquos economy employers who have developed pandemic plans should review and revise their plans in light of the cur-rent 2009 H1n1 influenza outbreak to take into account the extent and severity of disease in their community as outlined in this guidance2

Planning for Fall and Winter Influenza SeasonBusinesses may have already been impacted by the spring

and summer outbreaks of 2009 H1n1 influenza affecting their employees CDC anticipates that more communities may be affected than were in the springsummer 2009 andor more severely affected reflecting wider transmission and possibly greater impact In addition seasonal influenza viruses may cause illness at the same time as 2009 H1n1 this fall and win-ter In response to the anticipated spread of 2009 H1n1 in-fluenza the CDC has revised its recommendations to assist businesses and other employers of all sizes

The severity of illness that 2009 H1n1 influenza flu will cause (including hospitalizations and deaths) or the amount of illness that may occur as a result of seasonal influenza dur-ing the 2009ndash2010 influenza season cannot be predicted with a high degree of certainty Therefore employers should plan to be able to respond in a flexible way to varying levels of severity and be prepared to refine their pandemic influenza response plans if a potentially more serious outbreak of in-fluenza evolves during the fall and winter More people and communities are likely to be affected as influenza is more widely transmitted The CDC and its partners will continu-ously monitor national and international data on the severity of illness caused by influenza will disseminate the results of these ongoing surveillance assessments and will make addi-tional recommendations as needed

Considerations of Appropriate Response Strategies

All employers must balance a variety of objectives when determining how best to decrease the spread of influenza and lower the impact of influenza in the workplace They should

2009 H1N1 Flu Situation UpdateKey Flu Indicatorseach week CDC analyzes information about influenza disease activity in the United states and publishes findings of key flu indicators in a report called FluView During the week of september 27 - october 3 2009 a review of the key indictors found that influenza activity increased in the United states Below is a summary of the most recent key indicators

O C T O B e r 2 0 0 9 | 11

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bull Guaranteed Hours bull Professional Pay amp Benefitsbull Special Clients Flexible Assignmentsbull A Variety Of Bonus Programsbull Professional Development OpportunitiesCross Training

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A PhArmAcist And A LAwyer

Board of Pharmacy Licensure Disciplinary ProceedingsDefense of Chapter 499 Pedigree Laws Violations

Mergers and AcquisitionsCommercial Civil and Criminal Proceedings

KAHAN SHIR PL

Pharmacist AttorneyBrian A Kahan RPh JD

Licensed Florida Pharmacist and Attorney

STATEWIDE REPRESENTATION

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The hiring of a lawyer is an important decision that should not be based solely upon advertisements Before you decide ask us to send you free written information about our qualifications and experience

consider and communicate their objectives which may in-clude one or more of the following (a) reducing transmis-sion among staff (b) protecting people who are at increased risk of influenza related complications from getting infected with influenza (c) maintaining business operations and (d) minimizing adverse effects on other entities in their supply chains

employers should expect to see a wide range of disease patterns across the country employers should base their strategies and response to influenza outbreaks on local infor-mation from local and state public health authorities some of the key indicators that should be used when making deci-sions on appropriate responses are

Disease severity (ie hospitalization and death rates) in n

the community where business is locatedextent of disease (number of people who are sick) in the n

communityAmount of worker absenteeism in your business or orga- n

nizationImpact of disease on workforce populations that are vul- n

nerable and at higher risk (eg pregnant women employ-ees with certain chronic medical conditions that put them at increased risk for complications of influenza) andother factors that may affect employeesrsquo ability to get to n

work such as school dismissals or closures due to high levels of illness in children or school dismissalsemployers need to plan now to be able to obtain updated

information on these indicators from state and local health departments in each community where they have a business presence and to respond quickly to the changing reality on the ground employers with more than one business location are encouraged to provide local managers with the authori-ty to take appropriate actions outlined in their business pan-demic plan based on the condition in each locality

Preparedness and Response Recommendations

PLANNING FOR 2009 H1N1 AND THE 2009ndash2010 INFLUENzA SEASON

This guidance is designed to help employers plan for and respond to two possible conditions 1) a continuation of the current level of severity of influenza as was observed during the spring and summer of 2009 and 2) a more severe outbreak The first situation is what is being experienced in some com-munities nowmdashan outbreak of similar severity of 2009 H1n1 to the spring However even if the severity of the virus does not change planners should expect that there will be more people who are ill in the fall and winter as 2009 H1n1 out-breaks coincide with the seasonal influenza season and this level of absenteeism may impact business operations A sec-ond situation involves an outbreak of greater severity includ-ing more people with severe illness and thus more people hospitalized for influenza complications more deaths from influenza and a probable escalation of absenteeism

12 | f L O r i d a p h a r m a C y T O d a y

copy 2009 Medical Staffi ng Network Inc | PS-9005D

The Right Jobbull Flexible Schedulesbull Top Compensationbull Great Benefi tsbull Local or Travel

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Businesses should have an understanding of their normal seasonal absenteeism rates and know how to monitor their personnel for any unusual increases in absenteeism through the fall and winter Business continuity planners should as-sess their essential business functions now to determine at what threshold of absenteeism those functions would be threatened if absenteeism escalates Planners can then pre-pare to take more aggressive measures to protect continuity as absenteeism escalates towards those thresholds

even employers in communities that have not yet felt ef-fects from 2009 H1n1 influenza should plan for an influen-za outbreak this fall and winter and be ready to implement strategies to protect their workforce while ensuring continuity of operations During an influenza pandemic all sick people should stay home and away from the workplace hand wash-ing and covering coughs and sneezes should be encouraged and routine cleaning of commonly touched surfaces should be performed regularly If the severity of illness increases employers should be ready to implement additional measures while continuing to rigorously implement the interventions recommended for an outbreak similar to the springsummer 2009 H1n1 outbreak If severity increases public health offi-cials may recommend a variety of methods for increasing the physical distance between people (called social distancing) to reduce the spread of disease such as school dismissal child care program closure canceling large community gatherings canceling large business-related meetings spacing workers farther apart in the workplace canceling non-essential travel

and recommending work-from-home strategies for workers that can conduct their business remotely

Please remember employers should develop capabilities to respond to both scenarios and these two conditions serve only as a planning framework Businesses and other employ-ers should develop flexible capabilities to respond to either situation given the difficulties in accurately predicting the ex-tent and severity of 2009 H1n1 as it unfolds during the 2009ndash2010 influenza season Individual businesses may implement additional actions if they experience high absenteeism or business continuity is compromised In addition employers should be aware that other emergencies such as hurricanes or other natural disasters may happen during the fall and win-ter creating additional challenging problems for businesses and communities

WORk WITH STATE AND LOCAL PUBLIC HEALTH PARTNERS

Coordination with state and local health officials is strong-ly encouraged for all businesses so that timely and accurate information can guide appropriate responses in each location where their operations reside since the intensity of an out-break may differ according to geographic location local pub-lic health officials will be issuing guidance specific to their communities Also businesses could work with public health and community leaders to explore ways of improving accessi-bility of vaccination for the workforce and in the community

kEEP SICk WORkERS HOME

one of the best way to reduce the spread of influenza is to keep sick people away from well people However in the fall and winter it will not be possible to quickly determine if workers who are ill have 2009 H1n1 seasonal influenza or any number of other different conditions based on symptoms alone local and state health department surveillance infor-mation can be helpful to know when influenza is circulating in the community although the availability timeliness and amount of local information on when influenza is circulating may vary substantially from community to community

Workers who have symptoms of influenza-like illness3 are recommended to stay home and not come to work until at least 24 hours after their fever has resolved4 Regardless of the size of the business or the function or services that you pro-vide all employers should plan now to allow and encourage sick workers to stay home without fear of losing their jobs CDC recommends this strategy for all levels of severity em-ployers should plan now for how they will operate if there is significant absenteeism from sick workers However employ-ers should know that some persons with influenza including those ill with 2009 H1n1 do not have fever Therefore it will not be possible to exclude everyone who is ill with influenza from the workplace

BE PREPARED IF SCHOOLS DISMISS STUDENTS OR CHILD CARE PROGRAMS CLOSE

In some communities schools may dismiss students and childcare programs may close particularly if the severity in-

O C T O B e r 2 0 0 9 | 13

creases5 officials will make these decisions to protect pub-lic health but they will affect your businessrsquos functioning es-pecially affecting absenteeism Plan now to determine how you will operate if absenteeism spikes from increases in sick workers those who stay home to care for ill family members and those who must stay home to watch their children if dis-missed from school Businesses and other employers should prepare to institute flexible workplace and leave policies for these workers

Actions Employers Should Take NowReview or establish a flexible influenza pandemic plan n

and involve your employees in developing and reviewing your planConduct a focused discussion or exercise using your plan n

to find out ahead of time whether the plan has gaps or problems that need to be corrected before flu seasonHave an understanding of your organizationrsquos normal n

seasonal absenteeism rates and know how to monitor your personnel for any unusual increases in absenteeism through the fall and winterengage state and local health department to confirm n

channels of communication and methods for dissemina-tion of local outbreak informationAllow sick workers to stay home without fear of losing n

their jobsDevelop other flexible leave policies to allow workers to n

stay home to care for sick family members or for children if schools dismiss students or child care programs closeshare your influenza pandemic plan with employees and n

explain what human resources policies workplace and leave flexibilities and pay and benefits will be available to themshare best practices with other businesses in your com- n

munities (especially those in your supply chain) cham-bers of commerce and associations to improve communi-ty response efforts andAdd a ldquowidgetrdquo or ldquobuttonrdquo to your company Web page n

or employee Web sites so employees can access the lat-est information on influenza wwwcdcgovwidgets and wwwcdcgovsocialMediaCampaignsH1n1buttonshtml

Important Components of an Influenza Pandemic Plan

Be prepared to implement multiple measures to protect n

workers and ensure business continuity A layered ap-proach will likely work better than using just one mea-sureIdentify possible work-related exposure and health risks n

to your employees The occupational safety and Health Administration (osHA) has developed tools to determine if your employees are at risk of work-related exposures and if so how to respond (see wwwoshagovdsgtopics

I n d e p e n d e n t hellip B u t N o t A l o n e P P S C i s Y o u r P a r t n e r f o r S u c c e s s

WorkSmarter

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PPSC can help youENHANCE operational workflowsAUTOMATE dispensing product

returns and Part B billingREDUCE claim resubmissionsINCREASE your profits

For more on how PPSC can maximize the potential of your independent pharmacy visit wwwppsconlinecom or call toll-free 888-778-9909

14 | f L O r i d a p h a r m a C y T O d a y

City of Tallahassee Declares October as American Pharmacists Month

Tallahassee Mayor John Marks has declared october as American Pharmacist Month In a procla-mation signed on october 1 2009 Mayor Marks urged all citizens to acknowledge the valuable servic-es of pharmacists to provide safe affordable and beneficial pharma-ceutical care services and prod-ucts to all citizens

The Florida Pharmacy Associa-tion wish to thank our FAMU in-tern Carina Davison for her work with the City of Tallahassee dur-ing her rotation here at the FPA of-fice

FROM THE GOVERNING BODY OFTHE CITY OF TALLAHASSEE

PROCLAMATIONWhereas pharmacy is one of the oldest of the health professions con-cerned with the health and well-being of all people andWhereas today there are over 254000 pharmacists practicing in the United States and over 400 pharmacists licensed in the city of Tallahassee providing services to assure the rational and safe use of all medications andWhereas the use of medication as a cost-effective alternative to more expensive medical procedures is becoming a major force in moderating overall health care costs andWhereas todays powerful medications require greater attention to the manner in which they are used by different patient population groups -both clinically and demographically andWhereas it is important that all users of prescription and nonprescrip-tion medications or their caregivers be knowledgeable about and share responsibility for their own drug therapy andWhereas the American Pharmacists Association and the Florida Phar-macy Association have declared October as American Pharmacists Month with the theme Know Your Medicines - Know Your Pharmacist

Now therefore be it resolved that I John Marks do hereby proclaim October as

American Pharmacists Month

in the city of Tallahassee and urge all our citizens to acknowledge the valuable services of pharmacists to provide safe affordable and beneficial pharmaceutical care services and products to all citizens

O C T O B e r 2 0 0 9 | 15

pandemicfluindexhtml)Review human resources policies to make sure that poli- n

cies and practices are consistent with public health rec-ommendations and are consistent with existing state and federal workplace laws (for more information on employ-er responsibilities employers should visit the Department of laborrsquos and the equal employment opportunity Com-missionrsquos websites at wwwdolgov and wwweeocgov)Allow employees to stay home if they are ill have to care n

for ill family members or must watch their children if schools or childcare facilities closeexplore whether you can establish policies and practices n

such as flexible worksites (eg telecommuting) and flex-ible work hours (eg staggered shifts) when possible to increased the physical distance among employees and be-tween employees and others if local public health author-ities recommend the use of social distancing strategies ensure that you have the information technology and in-frastructure needed to support multiple workers who may be able to work from homeIdentify essential business functions essential jobs or n

roles and critical elements within your supply chains (eg raw materials suppliers subcontractor servicesproducts and logistics) required to maintain business op-erations Plan for how your business will operate if there is increasing absenteeism or these supply chains are inter-ruptedset up authorities triggers and procedures for activat- n

ing and terminating the companyrsquos response plan alter-ing business operations (eg possibly changing or closing operations in affected areas) and transferring business knowledge to key employees Work closely with your lo-cal health officials to identify these triggersPlan to minimize exposure to fellow employees or the n

public if public health officials call for social distancingestablish a process to communicate information to work- n

ers and business partners on your 2009 H1n1 influenza response plans and latest 2009 H1n1 influenza informa-tion Anticipate employee fear anxiety rumors and mis-information and plan communications accordingly

over the past several years HHs CDC DHs osHA eeoC and other federal partners have developed guidelines including checklists to assist businesses industries and oth-er employers in planning for a pandemic outbreak Review these resources to assist in your planning efforts wwwflugovplanworkplaceplanningindexhtml

The recommendations that follow provide guidance on how employers can develop strategies and respond to two levels of severity local conditions will influence the deci-sions that public health officials make regarding community-level strategies employers should take the time now to learn about plans in place in each community where they have a presence

Recommended Employer Responses for the 2009-2010 Flu SeasonRecommended Action Steps under Current Flu Conditions (similar severity as in SpringSummer 2009)

If the severity of illness in the fall and winter is similar to that observed in the spring and summer of 2009 the effects of 2009 H1n1 influenza may not have substantial impacts on absenteeism though some increase in absenteeism over the spring season is anticipated When larger numbers of people become ill correspondingly larger numbers of people will be-come seriously ill and may require hospitalization

SICK PERSONS SHOuLD STAY HOMEAdvise workers to be alert to any signs of fever and any n

other signs of influenza-like illness6 before reporting to work each day and notify their supervisor and stay home if they are ill employees who are ill should not travel while they are illCDC recommends that employees with influenza-like ill- n

ness remain at home until at least 24 hours after they are free of fever (100deg F [378deg C] or greater) or signs of a fever without the use of fever-reducing medicationsexpect sick employees to be out for about 3 to 5 days in n

most cases even if antiviral medications are usedensure that your sick leave policies are flexible and con- n

sistent with public health guidance and that employees are well aware of these policiesTalk with companies that provide your company with n

contract or temporary workers about the importance of sick workers staying home and encourage them to devel-op non-punitive leave policiesDo not require a doctorrsquos note for workers who are ill with n

influenza-like illness to validate their illness or to return to work as doctorrsquos offices and medical facilities may be extremely busy and may not be able to provide such doc-umentation in a timely way employees who are well but who have an ill family mem- n

ber at home with influenza can go to work as usual How-ever these employees should monitor their health every day and notify their supervisor and stay home if they be-come ill employers should maintain flexible policies that permit employees to stay home to care for an ill family member employers should be aware that more workers may need to stay at home to care for ill children or other ill family members than is usual

SICK EMPLOYEES AT WORK SHOuLD BE ASKED TO gO HOME

CDC recommends that workers who appear to have an n

influenza-like illness upon arrival or become ill during the day be promptly separated from other workers and be advised to go home until at least 24 hours after they are free of fever (100deg F [378deg C] or greater) or signs of a fever without the use of fever-reducing medications Those who become ill with symptoms of an influenza-like n

illness during the work day should be

16 | f L O r i d a p h a r m a C y T O d a y

o separated from other workers and asked to go home promptly (For recommendations on personal protec-tive equipment for a person assisting the ill employee see Interim Recommendations for Facemask and Res-pirator Use to Reduce novel Influenza A (H1n1) Vi-rus Transmission httpwwwcdcgovh1n1flumaskshtm)

o When possible and if they can tolerate it workers with influenza-like illness should be given a surgical mask to wear before they go home if they cannot be placed in an area away from others

If an employee becomes ill at work inform fellow employ- n

ees of their possible exposure in the workplace to influen-za-like illness but maintain confidentiality as required by the Americans with Disabilities Act (ADA) For more in-formation on privacy issues please refer to httpwwwflugovfaqworkplace_questionsequal_employmentin-dexhtmlPrivacyIssues employees exposed to a sick co-worker should monitor themselves for symptoms of influ-enza-like illness and stay home if they are sick

COVER COugHS AND SNEEzESInfluenza viruses are thought to spread mainly from per- n

son to person in respiratory droplets of coughs and sneez-es Provide employee messages on the importance of cov-ering coughs and sneezes with a tissue or in the absence of a tissue onersquos sleeve Place posters in the worksite that encourages cough and sneeze etiquetteProvide tissues and no-touch disposal receptacles for use n

by employees

IMPROVE HAND HYgIENEInfluenza may be spread via contaminated hands In- n

struct employees to wash their hands often with soap and water or use an alcohol-based hand cleaner especially af-ter coughing or sneezing Place posters in the worksite that encourage hand hygieneProvide soap and water and alcohol-based hand sanitiz- n

ers in the workplace ensure that adequate supplies are maintained If feasible place hand sanitizers in multiple locations or in conference rooms to encourage hand hy-giene

CLEAN SuRFACES AND ITEMS THAT ARE MORE LIKELY TO HAVE FREquENT HAND CONTACT

Frequently clean all commonly touched surfaces in the n

workplace such as workstations countertops and door-knobs Use the cleaning agents that are usually used in these areas and follow the directions on the labelno additional disinfection beyond routine cleaning is rec- n

ommendedENCOuRAgE EMPLOYEES TO gET VACCINATED

encourage your employees to get vaccinated for seasonal n

influenza For information on groups prioritized for sea-sonal influenza vaccines please see httpwwwcdcgovfluprotectkeyfactshtm encourage your employees also to get vaccinated for 2009 n

H1n1 influenza when vaccines are available to them Dif-ferent groups are prioritized for 2009 H1n1 influenza than for seasonal influenza For information on groups prioritized for H1n1 influenza vaccine please see httpwwwcdcgovh1n1fluvaccinationaciphtm offer opportunities at your worksite for influenza vacci- n

nation Consider granting employees time off from work to get vaccinated if not offered at the worksiteReview the health benefits you offer employees and work n

with insurers to explore if they can cover the costs of in-fluenza vaccination

TAKE MEASuRES TO PROTECT EMPLOYEES WHO ARE AT HIgHER RISK FOR COMPLICATIONS OF INFLuENzA

People at higher risk for complications from influenza in- n

clude pregnant women children under 5 years of age adults and children who have chronic lung disease (such as asthma) heart disease diabetes diseases that suppress the immune system and other chronic medical conditions and those who are 65 years or older7 Inform employees that some people are at higher risk of n

complications from influenza and that if they are at high-er risk for complications they should check with their health care provider if they become ill early treatment with antiviral medications is very important for people at high risk because it can prevent hospitalizations and deathsencourage employees recommended for seasonal influ- n

enza vaccine and 2009 H1n1 vaccines to get vaccinated as soon as these vaccines are available For information on groups prioritized for seasonal and H1n1 vaccines please see httpwwwcdcgovfluprotectkeyfactshtm and httpwwwcdcgovh1n1fluvaccinationaciphtmemployees who become ill and are at increased risk of n

complications from influenza and ill employees who are concerned about their illness should call their health care provider for advice Their health care provider might want them to take antiviral medications to reduce the likelihood of severe complications from the influenzasee n httpwwwcdcgovh1n1fluqahtm for more infor-mation

PREPARE FOR INCREASED NuMBERS OF EMPLOYEE ABSENCES DuE TO ILLNESS IN EMPLOYEES AND THEIR FAMILY MEMBERS AND PLAN WAYS FOR ESSENTIAL BuSINESS FuNCTIONS TO CONTINuE

employers should plan to monitor and respond to ab- n

senteeism at the workplace Implement plans to contin-ue your essential functions in case you experience high-er than usual absenteeism elevated absentee rates can be due to sick workers those who need to stay home and care for others or from workers with conditions that make them at higher risk for complications from influen-za and who may be worried about coming to work Cross-train personnel to perform essential functions so n

that the workplace is able to operate even if key staff are absent

O C T O B e r 2 0 0 9 | 17

Assess your essential functions and the reliance that oth- n

ers and the community have on your services or products Be prepared to change your business practices if need-ed to maintain critical operations (eg identify alternative suppliers prioritize customers or temporarily suspend some of your operations if needed)

ADVISE EMPLOYEES BEFORE TRAVELINg TO TAKE CERTAIN STEPS

Advise workers to check themselves for fever and any n

other signs of influenza-like illness before starting travel and notify their supervisor and stay home if they are illAdvise employees who will be traveling or on temporary n

assignment about precautions they may need to take to protect their health and who to call if they become illemployees who become ill while traveling and are at in- n

creased risk of complications from influenza and oth-ers concerned about their illness should promptly call a health care provider for adviceensure employees who become ill while traveling or on n

temporary assignment understand that they should noti-fy their supervisor If outside the United states ill employees should fol- n

low your companyrsquos policy for obtaining medical care or contact a health care provider or overseas medical assis-tance company to assist them with finding an appropriate health care provider in that country if needed A Us con-sular officer can help locate health care services However Us embassies consulates and military facilities do not have the legal authority capability and resources to evac-uate or give medications vaccines or medical care to pri-vate Us citizens overseassee CDCrsquos Travel Website ( n httpwwwncdcgovtrav-elcontentnovel-h1n1-fluaspx) for more information for travelers

PREPARE FOR THE POSSIBILITY OF SCHOOL DISMISSAL OR TEMPORARY CLOSuRE OF CHILD CARE PROgRAMS

Although school dismissals or closures of child care pro- n

grams are not likely to be generally recommended at this level of severity they are possible in some jurisdictions Be prepared to allow workers to stay home to care for n

children if schools are dismissed or child care programs are closed strongly recommend that parents not bring their children n

with them to work while schools are dismissedensure that your leave policies are flexible and non-puni- n

tive Cross-train employees to cover essential functions n

Read CDCrsquos Guidance for state and local Public Health n

officials and school Administrators for school (K-12) Re-sponses which can be found at httpwwwcdcgovh1n-1fluschoolsschoolguidancehtm to better understand the conditions under which schools may be dismissed

Under Conditions with Increased Severity Compared to SpringSummer 2009

If 2009 H1n1 becomes more severe than during springsummer 2009 absenteeism will likely be far greater and ad-ditional protective measures to slow the spread of influenza may be considered Check with your local health department for the extent and severity of disease activity in your commu-nity and for recommendations for necessary measures Deci-sions about what tools should be used during a severe 2009 H1n1 outbreak should be based on the observed severity of the event its impact on specific subpopulations the need to protect workers the expected benefit of the interventions the feasibility of success of implementing these measures the di-rect and indirect costs of different interventions and the ef-fects on critical infrastructure health care delivery and soci-ety The following are measures that should be considered if influenza severity increases and are meant for use in addition to the measures outlined above

CONSIDER ACTIVE SCREENINg OF EMPLOYEES WHO REPORT TO WORK

If influenza severity increases at the beginning of the n

workday or with each new shift all employees should be asked about symptoms consistent with an influenza ill-ness8 such as fever or chills AnD cough or sore throat If the severity or the impact of influenza increases CDC rec-ommends that persons with an influenza-like illness not come to work or travel and remain at home for at least 7 days even if symptoms resolve sooner Individuals who are still sick 7 days after they become ill should continue to stay home until at least 24 hours after symptoms have resolved If influenza severity increases CDC recom-mends that people stay home at least 7 days whether or not antiviral medications are usedMake sure your sick leave policies are flexible and consis- n

tent with public health guidance and that your employ-ees are aware of these policies Do not require a doctorrsquos note for workers who are ill with n

influenzaContinue to advise workers to check for any signs of ill- n

ness before reporting to work each dayMake contingency plans for increased absenteeism n

caused by illness in workers or illness in workersrsquo family members that would require them to stay home Planning for absenteeism could include cross-training current em-ployees or hiring temporary workers

CONSIDER ALTERNATIVE WORK ENVIRONMENTS FOR EMPLOYEES AT HIgHER RISK FOR COMPLICATIONS OF INFLuENzA DuRINg PERIODS OF INCREASED INFLuENzA ACTIVITY IN THE COMMuNITY

employees with an underlying chronic medical condition n

or who are pregnant should consider calling their health care provider for advice about how to reduce their risk of exposure to influenza and if they get sick how best to get early treatment for influenzaIf influenza severity increases and if influenza transmis- n

sion is high in the community employers may want to evaluate their work environment to see how they can re-

18 | f L O r i d a p h a r m a C y T O d a y

duce the number of people that high-risk employees come in contact with such as exploring options for telecom-muting from home (if feasible) employers can also think about how workers at higher risk for influenza compli-cations could be reassigned to duties that have minimal contact with other employees clients or customers If these workers cannot be reassigned duties to reduce con-tact with others are concerned about their ability to avoid influenza at the workplace or will be in crowded condi-tions at work or while commuting to work then consider allowing employees at higher risk for influenza complica-tions to stay home from workCDC recommends that ill workers at higher risk of com- n

plications from influenza seek early treatment if they be-come illsee n httpwwwcdcgovh1n1fluqahtm for more infor-mation

CONSIDER INCREASINg SOCIAL DISTANCINg IN THE WORKPLACE

If influenza severity increases local public health offi- n

cials may recommend that employers implement mea-sures to increase the physical distance between people in the workplace to reduce the spread of influenza The goal should be for there to be at least 6 feet of distance between people at most times This is not a simple or easy strategy and would typically require considerable flexibility These measures may include avoiding crowded work settings canceling business-related face-to-face meetings spacing workers farther apart canceling non-essential travel in-creasing use of teleworking and using staggered shifts to allow fewer workers to be in the workplace at the same time9

If appropriate for your type of business and feasible re- n

view or develop policies for teleworking including an as-sessment of the capabilities and gaps of your current com-puter systems and availability of technical support Take remedial steps if needed and test your system in advance to assure it can handle an increase in remote usersRecommendations to increase social distancing may af- n

fect community functioning Because supply chain issues may be affected make sure you have plans for back-up suppliers

CONSIDER CANCELINg NON-ESSENTIAL BuSINESS TRAVEL AND ADVISINg EMPLOYEES ABOuT POSSIBLE DISRuPTIONS WHILE TRAVELINg OVERSEAS

If the severity of the outbreak worldwide increases in the n

fall or winter public health officials may recommend so-cial distancing strategies which include canceling non-es-sential travel and travel restrictions may be enacted by some countries which may limit the ability of employees to return home if they become ill while on travel statusIf influenza severity increases travelers should also be n

prepared for travel delays health screenings and other activities targeted towards travelers Provide information to travelers about contingency plans and how their travel

can be rebooked for these possible delays

PREPARE FOR SCHOOL DISMISSAL OR CLOSuRE OF CHILD CARE PROgRAMS

school dismissals and closure of child care programs are n

more likely at higher levels of severity Be prepared to allow workers to stay home to care for their children if schools are dismissed or child care programs are closed If dismissal is needed schools are being advised to dis-miss students for at least 5 to 7 calendar days or longer if necessary encourage employees who perform essential functions n

and who have children to plan for contingencies should local child care programs close or schools dismiss stu-dents Be prepared for prolonged absenteeism if schools dismiss n

students for an extended time Make sure your leave poli-cies are flexible and non-punitive employers should strongly recommend that parents not n

bring their children with them to work while schools are dismissedImplement flexible workplace policies like teleworking n

and staggered shifts Cross-train employees to cover essential functions n

Read CDCrsquos school guidance which can be found at n

httpwwwcdcgovh1n1fluschoolsschoolguidancehtm to better understand the conditions under which schools may be dismissed

OTHER CONSIDERATIONSAs part of their comprehensive pandemic planning n

some public and private sector employers have stock-piled or otherwise arranged for influenza antiviral drugs to be available for their employees during a pandemic To guide these efforts HHs released guidance to busi-nesses in 2008 entitled Considerations for Antiviral Drug Stockpiling by Employers in Preparation for an Influenza Pan-demic (httpwwwflugovvaccineantiviral_employershtml) see updated interim guidance on the use of antivi-ral agents for treatment and prophylaxis of 2009 H1n1 in-fluenza infection at httpwwwcdcgovh1n1flurecom-mendationshtmemployers should be aware that the severity of 2009 n

H1n1 influenza could change rapidly therefore local public health recommendations to communities and busi-nesses could be revised quickly Planners should identi-fy sources of timely and accurate information so they are aware of changes to recommendations and can promptly implement revised or additional measures recommended by local public health officials

O C T O B e r 2 0 0 9 | 19

The Florida Pharmacy Association 2009 ResolutionsPresented to the House of Delegates

It is an honor to serve as your 2009-2010 FPA speaker of the House of Delegates I have the privilege of follow-ing in the footsteps of some of FPArsquos most effective and prominent leaders and speakers including most recently suzanne Kelly

The House meeting held during the 2009 FPA An-nual Meeting in st Augustine was a lively and exciting meeting for our association If you missed the meeting or unaware of how the FPA House of Delegates serves itrsquos membership I strongly encourage you to contact myself directly or any of the FPA House of Delegates Board of Di-rectors Any one of us will be happy to get you involved and excited about this group and share with you how ev-ery resolution directly impacts the direction of the associ-ation and you its member

The FPA Board of Directors of the House of Delegates is made up of the following faithful memberssuzanne Kelly ndash Chair of the House of Delegates Board

of DirectorsAlexander Pytlarz ndash speaker of the House of DelegatesWilliam Riffee ndash Vice-speakershannon Zandy ndash DirectorCaridad Ferree ndash DirectorJosh Fields ndash Director Karen Whalen ndash FPA PresidentHumberto Martinez ndash FPA President-electMichael A Mone ndash ParliamentarianMichael A Jackson ndash FPA executive Vice President amp

Ceoon behalf of the House Board of Directors Irsquod like to

welcome the newest members of the House Board of Di-

rectors Dean William Riffee Vice-speaker and Caridad Ferree Director were elected at this years FPA Annual Meeting We look forward to their involvement

The House also had the privilege of introducing two new invited organizations to the House They are nige-rian Pharmacists Association and Florida Independent Pharmacy network

If any member represents an organization that wants to be involved in the House of Delegates please contact me directly I will be happy to work with you and your or-ganization so you are represented within the House and have your voice heard by all FPA members

At this past yearrsquos meeting the House reviewed eight submitted resolutions Below is a summary of the actions of the each resolution that the House took and to what committee the adopted resolutions were referred to by your President Karen Whalen Please review these reso-lutions as they will impact the policies and direction of our association If you have any comments or questions please feel free to contact me or any member of the House Board As always itrsquos never too early to start thinking about possible resolutions for next years House

Thank you for the opportunity to serve you and the Florida Pharmacy Association

Best regards

Alexander Pytlarz2009-2010 speaker of the House of Delegates

RESOLUTION 1

Pharmacy Manager in Charge Man-date rule changes for the State require to be on-site 24 hr perweekBroward County Pharmacist Associa-tion

Whereas There is no statutory or rule requirement for a Manager in Charge to be present in the Pharmacy

Whereas over the last few years in-ternet practices and non-pharmacist owned pharmacies have flourished in practice settings that were poorly su-pervised

Be it Resolved that the FPA propose that the Florida Pharmacy Board pro-mulgate rules which safeguard the public by having a Responsible par-ty (Pharmacy Manager of Record) on

premises 24 hrs per given week

Contact Broward County Pharmacist AssocDaniel P sweet RPhPast President Board Member954-232-8202

Intent To protect the public from non-pharmacist owners to influence the practice of pharmacy by placing a phar-

20 | f L O r i d a p h a r m a C y T O d a y

macist on record without reviewing the day to day operations of Pharmacy Practice and its Rules and statues

Resolution not Adopted

Respectfully submitted

Broward County Pharmacist Associa-tion

RESOLUTION 2

Repeal 40 hr Rule for Community Pharmacy PermitBroward County Pharmacist Associa-tion

Whereas the Practice of Pharmacy is evolving to an Information Profession where pharmacists will be reviewing medication therapy

Whereas in populated areas there are multiple pharmacies in a compact radi-us

Be it Resolved that the Florida Board of Pharmacy act in repealing the 40 hr rule for Community Pharmacy Permit withstanding that there is a pharmacy within 5 miles with extended hours or a 24 hr pharmacy within 2 miles

Contact Daniel P sweet RPhPast President Board Member Broward County Pharmacist Assoc954-232-8202

Intent With Pharmacy Practice evolv-ing with more Pharmacists are going to use there education to create office type practice The Pharmacist will need to be off-site to review medications and council patients on the use of their medication

Respectfully submittedBroward County Pharmacist Associa-tion

Motion to amendAmendment passedspeaker unable to determine the posi-

tion of the House on voice votestanding vote called for by the House speakerResolution adopted on standing vote

RESOLUTION 3

Physician Dispensing ndash Limiting Scope as Pertains to Controlled Sub-stancesBroward County Pharmacists Associa-tion

Whereas a significant problem regard-ing the misuse of controlled substances in our state has been identified and

Whereas the checks and balances that the pharmacist brings to the equation of reducing the potential for misuse of controlled substances due to conflicts of interest is circumvented in the phy-sician dispensing model

Be it Resolved that the FPA seek legis-lative changes to limit the in-office dis-pensing of controlled substances up to and not more than a three (3) day sup-ply Contact Broward County Pharmacists AssociationDaniel P sweet RPhPast President Board Member954-232-8202

Motion to amend the phrase ldquowork with the respective BoardsrdquoAmendment is adoptedMotion to amend by adding the words ldquouprdquo and the words ldquoand not more thanrdquo to the first sentenceMotion to amend passesMotion to amend by striking the last sentence of the resolveMotion to amend passesResolution Adopted

Intent With the advent of Pain Man-agement Clinics with Dispensaries Pa-tient safety and control is lost by not having a Pharmacist oversee the pa-tientsrsquo therapeutic management with-in the guidelines of the FDA and Con-trolled substance Abuse Act

RESOLUTION 4

Pharmacy Service TaxBroward County Pharmacists Associa-tion

Whereas Pharmacy has assumed the burden of absorbing the costs associat-ed with receiving and sending data to all sources

Whereas these costs continue to grow and are not associated with the cost of the product or filling fee received then

Be it Resolved that the FPA work with the proper legislative process for the state to create a TAX for prescriptions to cover all communication costs inher-ent in Rx processing for e-prescribing communications to PBMrsquos and data re-porting costs for handling in-state re-porting of Controlled substances

Be it Further Resolved that the col-lected tax be used only for Pharmacy Claims Administrative Costs in han-dling the claims and bear no economic andor administrative burdens on the pharmacy

Resolution not Adopted

Contact Broward County Pharmacists AssociationDaniel P sweet RPhPast President Board Member954-232-8202

Intent With greater dependency on data network and associated costs to all pharmacies we have been placed in a pinch With the state controlling the process we gain on many fronts First no back-end costs on any Rx claim next the state can legally charge PBMrsquos un-der contract and will be responsible for collecting the tax and lastly the state can use their collective bargain-ing power to reduce the costs associat-ed with data transmission

Respectfully submitted

Broward County Pharmacists Associa-tion

O C T O B e r 2 0 0 9 | 21

RESOLUTION 5

RPh Not a Degree Designationleon County Pharmacy Association

WHEREAS pharmacists with a PharmD degree very proudly and rightfully use their degree designation of PharmD with their name and

WHEREAS pharmacists with a BsP degree generally use RPh with their name and

WHEREAS the designation of RPh for Registered Pharmacist is not a degree designation and was enacted into the original Florida Pharmacy Practice Act of 1889 The current practice act defines a pharmacist as a licensed Pharmacist lPh

THEREFORE the leon County Phar-macy Association moves that the FPA promote the use of the BPharm desig-nation for the BsP degree in place of the RPh designation which no longer is ref-erenced in the Florida Pharmacy Prac-tice Act

Motion to amendMotion to amend failsResolution Adopted

Contact persons Michael A Jackson- (850) 222- 2400Jim Powers- (850) 422- 0079

Background The resolution pretty well speaks for itself however it should be noted that in most national pharmacy publications pharmacists with a BsP degree are using the BPharm designa-tion behind their names In research-ing Dr Gene Gramlingrsquos book ldquoA His-tory of Pharmacy in Floridardquo it has the Florida Pharmacy Practice Act of 1889 which reads as follows section 4 Be it further enacted that the Board of Phar-macy shall register in a suitable book the names and places of residence of all persons to whom they issue certifi-cates and dates thereof It shall be the duty of said Board of Pharmacy to reg-ister without examination as registered pharmacists all pharmacists and drug-gists who are engaged in business in

the state of Florida at the passage of this act as owners or principals of stores or pharmacies In any village town or city of more than 200 inhabitants helliprdquo

RESOLUTION 6

Long Term Care regulatory frame-workFlorida Chapter of American society of Consultant Pharmacist

Whereas the Florida regulatory frame-work for long-term care pharmacy should be reviewed periodically to en-sure that it is consistent with current practice the FPA legislative commit-tee resolves to coordinate with the Flor-ida Chapter of the American society of Consultant Pharmacists to review the current regulatory framework for long-Term Care pharmacy in Florida

Resolved that the FPA legislative Committee coordinate with the Flori-da Chapter of the American society of Consultant Pharmacists to review the current regulatory framework for long-Term Care Pharmacy in Florida

Resolve substituted by the sponsor and accepted by the House substitute Resolution Adopted

Contact name and Phone stephen J Grabowski (727) 945-0760

Problem As the number of our nationrsquos seniors has grown so to have the de-mands and challenges placed upon the pharmacists serving those seniors who live in long-term care facilities since the practice of pharmacy has evolved over the years with increased workload demands changing roles of pharmacy technicians and new technologies so too have the regulatory guidelines and oversight responsibilities of the state boards

Intent not only will the practice of pharmacy need to adapt to the needs of seniors in long-term care facilities but state board of pharmacies and phar-macists under their preview must un-

derstand the impact of these changes Pharmacists practicing in long-term care must collaborate with state boards of pharmacy to update practice acts to ensure the protection of the health safety and welfare of the public

RESOLUTION 7

Evaluation of the ldquoPedigree Docu-mentation Programrdquo as stated in Flor-ida Statue 499Alachua County Association of Phar-macists

Whereas Florida statue 499 states that its purpose is to safeguard the public health and promote the public welfare by protecting the public from injury by product use and by merchandising de-ceit involving drugs devices and cos-metics

Whereas Pharmacies Pharmacists Pharmacy Wholesalers Pharmaceuti-cal Manufacturers and Pharmacy Re-packagers are all an integral part of this program

Whereas there is financial costs associ-ated with this program

Whereas there are penalties associated with this program

RESOLVED - The FPA request the Agency for Health Care Administra-tion to evaluate the ldquoPedigree Docu-mentation Programrdquo (49901212) to de-termine effectiveness and identification of improvements in the program for the protection of the public safety

Problem - The state of Florida enact-ed the ldquoPedigree Documentation Pro-gramrdquo (49901212) to keep adulterated and misbranded pharmaceuticals from consumers

Intent - To determine the effectiveness of the ldquoPedigree Documentation Pro-gramrdquo in achieving its purpose

Resolution Adopted

22 | f L O r i d a p h a r m a C y T O d a y

sion forward Please join us in Talla-hassee next March

FPA Legislative Key Contact Network

The FPA legislative Committee would like to match up at least one pharmacist with every key legisla-tor in the state If you currently have a relationship with one of your state legislators or if you are willing to take the steps listed above to be one of our grassroots advocates we want to know sign up to be a member of our Key legislative Contacts If you can help please let us know by con-tacting any member of the legisla-tive Committee listed below or you may contact me directly at klwizcomcastnet

lastly your legislative Commit-tee deserves a BIG ldquoThank Yourdquo for their time and effort These mem-bers have stepped up to help our profession grow and prosper Fol-lowing is a list of the members of the 2009-2010 FPA legislative Commit-teeDavid AndrewsDon BergemannGary DalinMitchell FingerhutAmy FerrolRamy GabrielMark HobbsMichael JacksonHumberto MartinezMark PercifieldManny PrieguezAlexander PytlarzTeysha RichardsonWilliam RiffeeTheresa Tollenorman TomakaAmanda Waltemathlori WeemsKaren WhalenRobert WilburChristine Yocum

Ken Wisniewski2009-2010 legislative Committee Chair

Viewpoint continued from page 5Respectfully submitted

Alachua County Association of Phar-macists

RESOLUTION 8

Continuous quality Improvement Program-Program EvaluationAlachua County Association of Phar-macists

Whereas the CQI Program is a system of standards and procedures to identify and evaluate quality-related events and improve patient care

Whereas some of the main goals of FPA and the Board of Pharmacy is to improve patient care and safety

Whereas an evaluation of the CQI Pro-gram may identify improvements that could be incorporated into the pro-gram

Whereas information about patient safety practices obtained from the pro-gram evaluation would be helpful if shared with the pharmacists of Florida and the nation

Resolved that the FPA request the Flor-ida Board of Pharmacy to conduct a Program evaluation of the Continuous Quality Improvement Program (64B16-27300)

Problem- since the enactment of 64B16-27300 Continuous Quality Improve-ment (CQI) Program there has not been a program evaluation

Intent- The evaluation of the CQI Pro-gram for effectiveness

Respectfully submittedAlachua County Association of Phar-macists

Resolution Adopted

JOIN TODAY

Florida Pharmacy Association

O C T O B e r 2 0 0 9 | 23

RESOLUTION 1Pharmacy Manager in Charge Man-date rule changes for the State require to be on-site 24 hr perweekBroward County Pharmacist Associa-tion Whereas There is no statutory or rule requirement for a Manager in Charge to be present in the PharmacyWhereas over the last few years in-ternet practices and non-pharmacist owned pharmacies have flourished in practice settings that were poorly su-pervisedBe it Resolved that the FPA propose that the Florida Pharmacy Board pro-mulgate rules which safeguard the public by having a Responsible par-ty (Pharmacy Manager of Record) on premises 24 hrs per given weekContact Broward County Pharmacist AssocDaniel P sweet RPhPast President Board Member954-232-8202Intent To protect the public from non-pharmacist owners to influence the practice of pharmacy by placing a phar-macist on record without reviewing the day to day operations of Pharmacy Practice and its Rules and statuesResolution Not AdoptedRespectfully SubmittedBroward County Pharmacist Associa-tion

RESOLUTION 2

Repeal 40 hr Rule for Community Pharmacy PermitBroward County Pharmacist Associa-tion Whereas the Practice of Pharmacy is evolving to an Information Profession where pharmacists will be reviewing medication therapyWhereas in populated areas there are multiple pharmacies in a compact radi-usBe it Resolved that the Florida Board of Pharmacy act in repealing the 40 hr rule for Community Pharmacy Permit withstanding that there is a pharmacy within 5 miles with extended hours or a 24 hr pharmacy within 2 milesContact

Daniel P sweet RPhPast President Board Member Broward County Pharmacist Assoc954-232-8202 Intent With Pharmacy Practice evolv-ing with more Pharmacists are going to use there education to create office type practice The Pharmacist will need to be off-site to review medications and council patients on the use of their medicationRespectfully SubmittedBroward County Pharmacist Associa-tion Motion to amendAmendment passedSpeaker unable to determine the posi-tion of the House on voice voteStanding vote called for by the House SpeakerResolution adopted on standing vote

RESOLUTION 3

Physician Dispensing ndash Limiting Scope as Pertains to Controlled Sub-stancesBroward County Pharmacists Associa-tionWhereas a significant problem regard-ing the misuse of controlled substances in our state has been identified andWhereas the checks and balances that the pharmacist brings to the equation of reducing the potential for misuse of controlled substances due to conflicts of interest is circumvented in the phy-sician dispensing model Be it Resolved that the FPA seek legis-lative changes to limit the in-office dis-pensing of controlled substances up to and not more than a three (3) day sup-ply Contact Broward County Pharmacists Associa-tionDaniel P sweet RPhPast President Board Member954-232-8202Motion to amend the phrase ldquowork with the respective BoardsrdquoAmendment is adoptedMotion to amend by adding the words ldquouprdquo and the words ldquoand not more thanrdquo to the first sentenceMotion to amend passes

Motion to amend by striking the last sentence of the resolveMotion to amend passesResolution AdoptedIntent With the advent of Pain Man-agement Clinics with Dispensaries Pa-tient safety and control is lost by not having a Pharmacist oversee the pa-tientsrsquo therapeutic management with-in the guidelines of the FDA and Con-trolled substance Abuse Act

RESOLUTION 4

Pharmacy Service TaxBroward County Pharmacists Associa-tionWhereas Pharmacy has assumed the burden of absorbing the costs associat-ed with receiving and sending data to all sourcesWhereas these costs continue to grow and are not associated with the cost of the product or filling fee received thenBe it Resolved that the FPA work with the proper legislative process for the state to create a TAX for prescriptions to cover all communication costs inher-ent in Rx processing for e-prescribing communications to PBMrsquos and data re-porting costs for handling in-state re-porting of Controlled substancesBe it Further Resolved that the col-lected tax be used only for Pharmacy Claims Administrative Costs in han-dling the claims and bear no economic andor administrative burdens on the pharmacyResolution Not AdoptedContact Broward County Pharmacists Associa-tionDaniel P sweet RPhPast President Board Member954-232-8202Intent With greater dependency on data network and associated costs to all pharmacies we have been placed in a pinch With the state controlling the process we gain on many fronts First no back-end costs on any Rx claim next the state can legally charge PBMrsquos un-der contract and will be responsible for collecting the tax and lastly the state can use their collective bargain-ing power to reduce the costs associat-

EmailFax Network HotlineReceive up-to-date and up-to-the-min-ute information on legislative Develop-ments Board of Pharmacy changes and other topics affecting the profession of pharmacy Call FPA Member services at (850) 222-2400 ext 110 ndash rsimmonspharmviewcom

Tax ResourceProvides defense and protection of your assets when you are audited Tax Resource will defend their clients for any income tax audit Federal or state for any tax year Tax Resource pio-neered the tax audit service business and is the largest audit defense firm in the United states Call (800) 92-AUDIT (800-922-8348)

Atlantic Coupon Redemption Center Receive payment in 25 working days of couponrsquos face value plus a rebate of 16 cents based on store volume Call Meredith McCord (800) 223-0398

Florida Commerce Federal Credit Union The chief objective of a credit union is not generating profits for stockholders but to provide service to its member The members benefit by getting attrac-tive returns on savings loans made at fair rates of interest plus enhanced and expanded services This is probably one of the best deals around Call (850) 488-0035

Collection Services For past due accounts call I C system Inc Call (800) 328-9595

Other Member Benefits n Discounted Continuing education

Programsn Monthly Issues of the Florida Phar-

macy Today Journal

ITC Deltacom offering FPA members exclusive associa-tion discounts on telecommunication ser-vices including local services long dis-tance data networks telephone systems and dedicated internet access Call 850-701-3200 or visit wwwitcdeltacomcom

Pharmacy Resource Materials FPA provides the most recent and rele-vant resources necessary to meet your professional needs This includes the Continuous Quality Improvement Manu-al Controlled substance Inventory Book-lets and Pharmacy signs Please call FPA Members services for more information 850-222-2400 ext 110

FPA Website Visit our FPA Website at wwpharmviewcom The site launched in December 2004 and revised in october 2008 includes a members only section The website of-fers a secure server so that you can reg-isters for Ce programs renew your mem-bership or purchase resources materials with your credit card

in keeping with a tradition of offering our members real benefits the Florida Pharmacy association (FPa) is proud to announce the introduction of sponsored discount Benefits Program these vendors are dedicated to providing an excellent value to all FPa members and associates to take advantage of benefits contact the vendors directly at the numbers listed below and identify yourself as a FPa member and have your membership id number handy

MEMBERSHIP MATTERS

Florida Pharmacy Association

24 | f L O r i d a p h a r m a C y T O d a y

Wyeth Bowl of Hygeia

Awarded to a pharmacist for out-standing community service above and beyond professional duties The use of the following selection criteria is re-quired

The recipient must be a Florida li- n

censed pharmacist and a member of FPAThe recipient must be living Awards n

are not presented posthumouslyThe recipient has not previously re- n

ceived the awardThe recipient is not currently serving n

nor has heshe served within the immediate past 2 years on its award committee or an officer of the asso-ciation in other than an ex officio ca-pacityThe recipient has compiled an out- n

standing record of community ser-vice which apart from hisher spe-cific identification as a pharmacist reflects well on the profession

James H Beal Award

Awarded to the Pharmacist of the Year The criteria established for this award is that the recipient be a Flori-da registered pharmacist and a mem-ber of FPA who has rendered outstand-ing service to pharmacy within the past five yearsCriteria

The recipient must be a Florida reg- n

istered pharmacist and a member of the FPAThe recipient has rendered outstand- n

ing service to pharmacy within the past five years

Technician of the Year AwardAwarded annually to a Florida

pharmacy technician who is recog-nized for hisher outstanding perfor-mance and achievement during hisher career

Criteria

Candidate must be a member of n

the Florida Pharmacy Association for at least 2 yearsCandidate must have demonstrat- n

ed contributions and dedication to the advancement of pharmacy technician practiceCandidate must have demonstrat- n

ed contributions to the Florida Pharmacy Association andor oth-er pharmacy organizationsCandidate must have demonstrat- n

ed commitment to community ser-viceCandidate is not a past recipient of n

this award

RQ Richards Award

This award is based on outstanding achievement in the field of pharmaceu-tical public relations in FloridaCriteria

The recipient must be a Florida reg- n

istered pharmacist and a member of the FPAThe recipient has displayed out- n

standing achievement in the field of pharmaceutical public relations in Florida

Frank TobackAZO Consultant

Pharmacist Award

CriteriaCandidate must be an FPA member n

registered with the Florida Board of Pharmacy as a consultant pharma-cist in good standingCandidate should be selected based n

on their outstanding achievements in the field of consultant pharmacy

DCPA Sidney Simkowitz

Pharmacy Involvement Award

Presented annually to a Florida pharmacist who has been active at the local and state pharmacy association level in advancement of the profes-sion of pharmacy in Florida

CriteriaA minimum of five years of active n

involvement in and contributions to the local association and FPACandidate must have held office at n

local level pharmacy associationMember in good standing for a pe- n

riod of at least five years in the FPA and must have served as a member or chairman of a committee of the associationCandidate must have been active- n

ly involved in a project that has or could potentially be of benefit to members of the profession

Pharmacists Mutual Companies

Distinguished Young Pharmacist

Award

Awarded to a young pharmacist for their involvement and dedication to the practice of pharmacyCriteria

licensed to practice for nine (9) years n

or lesslicensed to practice in the state in n

which selectedParticipation in national pharmacy n

association professional programs andor community service

IPA Roman Maximo Corrons

Inspiration amp Motivation Award

Interamerican Pharmacists Association created this award to honor the memo-ry of Roman M Corrons who inspired and motivated countless pharmacists to participate actively and aspire to take on leadership roles in their profession Roman was always there with guidance and support that motivated pharma-cists and encouraged visionary leader-ship approachable active membership and succession planning This award recognizes the motivators among us who inspire others to continue to ad-vance the professionCriteria

C a L L f O r N O m i N a T i O N s F P A A W A R D S 2 0 0 9 - 2 0 1 0

O C T O B e r 2 0 0 9 | 25

DEADLINE FOR NOMINATIONS FEBRUARY 28 2010

The recipient must be a Florida li- n

censed Pharmacist and a member of the FPACandidate should motivate others n

to excel within the profession by en-couraging them to be leadersCandidate is not necessarily an as- n

sociation officer but guides sup-ports andor inspires others

A brief description on the candidatersquos motivationalinspirational skills must accompany the nomination

The Jean Lamberti

Mentorship Award

The Jean lamberti Mentorship Award was established in 1998 to hon-or those pharmacists who have taken time to share their knowledge and ex-

perience with pharmacist candidates The award is named in honor of long time FPA member Jean lamberti for her effort in working with pharmacy studentsCriteria

The recipient must be an FPA mem- n

berThe recipient must serve as a role n

model for the profession of pharmacy

Innovative Pharmacy Practice

Award

Awarded to honor practicing phar-macists who have demonstrated inno-vation in pharmacy practice that has resulted in improved patient careCriteria

The recipient has demonstrated inno- n

vative pharmacy practice resulting in improved patient careThe recipient should be a practic- n

ing pharmacist within the geograph-ic area represented by the presenting Association

Qualified nominee A pharmacist prac-ticing within the geographic area repre-sented by the presenting Association

I AM PLEASED TO SUBMIT THE FOLLOWING NOMINATION

Name

Address

FOR THE FOLLOWING AWARD

(Nomination Deadline February 28 2009)

Wyeth Bowl of Hygeia Award

James H Beal Award

RQ Richards Award

Frank TobackAZO Consultant Pharmacist Award

DCPA Sydney Simkowitz Award

Pharmacists Mutual Co Distinguished Young Pharmacist Award

Academy of Pharmacy Practice Practitioner Merit Award

The Jean Lamberti Mentorship Award

IPA Roman Maximo Corrons Inspiration amp Motivation Award

Innovative Pharmacy Practice Award

Technician of the Year Award

NOMINATED BY

Name

Date Submitted

Signature

Please describe briefly below the nominees accomplishments indicating why you feel he or she should receive this award (Attach additional sheets if necessary)

C a L L f O r N O m i N a T i O N s F P A A W A R D S 2 0 0 9 - 2 0 1 0

F P A A W A R D S N O M I N A T I O N F O R M

mail nominatons to annual awards Florida Pharmacy association 610 n adams st tallahassee Fl 32301(850) 222-2400 FaX (850) 561-6758 dEadlinE For nominations is FEBrUary 28 2010

26 | f L O r i d a p h a r m a C y T O d a y

CALL FOR RESOLUTIONS TO THE 2010 HOUSE OF DELEGATES

The House of Delegates Board of Directors will meet in March 2010 to review and approve resolu-tions for the Annual Meeting The deadline for submitting resolutions is March 15 2010 PleAse noTe THIs DeADlIne

The following information will be needed when submitting resolutions

1 name of organization The name of the organization submitting the resolutions(s)2 name and telephone number of individuals A contact in the event clarification or further in-

formation is needed 3 Problem A statement of the problem addressed by the resolution4 Intent A statement of what passage of the resolution will accomplish5 Resolution Format (please type and use double spacing)

TiTle of ResoluTion

name of oRganizaTion

WheReas and

WheReas

TheRefoRe be iT

Resolved (ThaT The fPa oR subdivision of fPa)

ConTaCT name and Phone

PRoblem

inTenT

Page 3: October 2009 Florida Pharmacy Journal

O C T O B e r 2 0 0 9 | 3

VOL 72 | NO 10OCTOBer 2009 The OffiCiaL puBLiCaTiON Of ThefLOrida pharmaCy assOCiaTiONP H A R M A C Y T O D A Y

florida

Departments 2 Buyerrsquos Guide

4 Calendar

4 advertisers

5 presidentrsquos Viewpoint

7 executive insight

Features2009 h1N1 flu situation updateKey Flu Indicators

The florida pharmacy association 2009 resolutionsPresented to the House of Delegates

City of Tallahassee declares October as american pharmacists month

10

18

14

4 | f L O r i d a p h a r m a C y T O d a y

E-MAIL YOUR SUGGESTIONSIDEAS TO

davefiorecommunicationscom

Mission Statementsof the florida pharmacy Today JournalThe Florida Pharmacy Today Journal is

a peer reviewed journal which serves as a

medium through which the Florida Phar-

macy Association can communicate with

the profession on advances in the sciences of

pharmacy socio-economic issues bearing on

pharmacy and newsworthy items of interest

to the profession As a self-supported journal

it solicits and accepts advertising congruent

with its expressed mission

of the florida pharmacy Today Boardof directors The mission of the Florida Pharmacy Today

Board of Directors is to serve in an advisory

capacity to the managing editor and execu-

tive editor of the Florida Pharmacy Today Journal in the establishment and interpreta-

tion of the Journalrsquos policies and the manage-

ment of the Journalrsquos fiscal responsibilities

The Board of Directors also serves to motivate

the Florida Pharmacy Association members

to secure appropriate advertising to assist the

Journal in its goal of self-support

AdvertisersHeAlTHCARe ConsUlTAnTs 3KAHAn sHIR Pl 11

MeDICAl sTAFFInG 12PHARMACY PRoVIDeR

seRVICes (PPsC) 13Rx RelIeF 11

2009

FPA Calendar NOvEMBER

7-8 FPa committee and council meetings

Marriott Orlando Downtown

11 VeteRans day - FPa oFFice closed

13-15 nasPa Fall symPosium

Naples Florida

17-20 ascP senioR caRe PhaRmacy meeting

Anaheim California

26-27 thanksgiVing FPa oFFice closed

DECEMBER

5-6 saRasota laW conFeRence

Hyatt Regency at Sarasota Bay

8-9 BoaRd oF PhaRmacy meeting

Jacksonville

6-10 ashP midyeaR Regional conFeRence

Las Vegas NV

24-25 chRistmas holiday - FPa oFFice closed

JANUARY

1 neW yeaRs - FPa oFFice closed

30-31 FPa laW amp RegulatoRy conFeRence

Sandestin FL

31 election Ballots due

FEBRUARY

28 aWaRds nomination deadline

MARCH

2 FloRida legislatiVe session Begins

12 -15 aPha annual meeting

Washington DC

23 - 25 PhaRmacy legislatiVe day at the FloRida caPital

24 FloRida PhaRmacists health FaiR

27 - 28 FPa committee and council meetings and BoaRd oF diRectoRs

CE CREDITS (Ce cycle)The Florida Board of Pharmacy requires 10 hours lIVe Continuing education as part

of the required 30 hours general education needed every license renewal periodPharmacists should have satisfied all continuing education requirements for this

biennial period by september 30 2011 or prior to licensure renewalFor Pharmacy Technician Certification Board Application exam Information and

study materials please contact Ranada simmons in the FPA officeFor More Information on Ce Programs or eventsContact the Florida Pharmacy Association at (850) 222-2400 or visit our Web site at

wwwpharmviewcom

CONTACTSFPA mdash Michael Jackson (850) 222-2400FsHP mdash Michael McQuone (850) 906-9333UF mdash Dan Robinson (352) 273-6240FAMU mdash leola Cleveland (850) 599-3301nsU mdash Carsten evans (954) 262-1300

DISCLAIMER Articles in this publication are designed to provide accurate and authoritative information with respect to the subject matter covered This information is provided with the under-standing that neither Florida Pharmacy Today nor the Florida Pharmacy Association are engaged in rendering legal or other professional services through this publication If expert assistance or legal advice is required the services of a competent professional should be sought The use of all medications or other pharmaceutical products should be used according to the recommendations of the manufacturers Information provided by the maker of the product should always be consulted before use

For a complete calendar of events go to wwwpharmviewcom

O C T O B e r 2 0 0 9 | 5

Almost every day you hear more about health care reform And today is no exception It is crit-

ical that pro-pharmacy issues be in-cluded in health care reform There-fore in mid-september FPA executive Vice President and Ceo Michael Jack-son and APhA President (and former FPA President) ed Hamilton traveled to Washington DC to do strategic vis-its on Capitol Hill They worked togeth-er with pharmacists from other states to inform the legislators of the benefits of pharmacist-provided MTM services and to support MTM provisions in the current health care reform proposals

In addition to all the changes on the national health care horizon Florida is

also looking at many other legislative issues that could affect the practice of pharmacy in our own state The Flori-da Pharmacy Association will be keep-ing a close watch on these issues for you this year

In July the FPA legislative Commit-tee met to determine a priority list of is-sues that need to be addressed during the 2010 legislative session The list is provided below with the caveat that priorities andor items may change if unforeseen issues that affect pharmacy arise during the legislative session The list of legislative priorities for the Flor-ida Pharmacy Association for the com-ing year is as follows1 PBM legislation The committee

has recommended this as the no 1 priority This is a national issue that will be difficult to advance in the current Florida legislature We will work to develop language for a bill to be introduced

2 Medicaid Appropriations This is-sue is always on our agenda last year we were faced with multiple reductions but were able to mini-mize the financial impact on phar-macy Will Medicaid reductions once again be an issue in 2010 We believe it is necessary to be pre-pared

3 Anti-substitution of epilepsy and immunosuppressant drugs This topic continues to be an item of dis-cussion around the country A study group that will look at phar-macists interchanging these pre-scription drugs has yet to meet but there may be more to come regard-ing this issue

4 Adequate funding for state pharma-cy schools This item will be moni-

legislative Update 2009-2010Have You Heard

The Presidentrsquos ViewpointBY GUEST COLUMNIST KEN WISNIEWSKI 2009-2010 LEGISLATIvE COMMITTEE CHAIR

Ken Wisniewski2009-2010 Legislative Committee Chair

6 | f L O r i d a p h a r m a C y T O d a y

The Florida Pharmacy Association gratefully acknowledges the hard work and dedication of the following members of the FPA leadership who work deligently all year long on behalf of our members

Norman Tomaka Chairman of the Board of DirectorsKaren Whalen FPA PresidentDon Bergemann TreasurerAlexander Pytlarz Speaker of the House of DelegatesDean William Riffee Vice Speaker of the House of DelegatesAlexander Pytlarz Speaker Elect Preston McDonald Director Region 1Marcus Dodd-o Director Region 2Al Tower Director Region 3 Raul N Correa Interim Director Region 4 John Noriega Director Region 5 Chris Lent Director Region 6Kim Murray Director Region 7Joy Marcus DirectorRegion 8Ayala Fishel Director Region 9Peter Iafrate President FSHPMichael Jackson Executive Vice President and CEO

Florida Pharmacy Today Journal Board

Chair Designate Betty Harris beejpharmgmailcomTreasurer Stephen Grabowski sgrabowskiseniormmccomSecretary Stuart Ulrich StuarxaolcomMember Joseph Koptowsky docjik1215aolcomMember Jennifer Pytlarz jlc_rxdochotmailcomExecutive Editor Michael Jackson mjacksonpharmviewcomManaging Editor Dave Fiore davefiorecommunicationscom

20092010 FPA Board of Directors tored When requested by the uni-versities we will support them on this issue

Seeking Grassroots AdvocatesWho makes the decisions that will

affect our profession Yes the legisla-tors would be one answer but the best answer is YoU

Have you heard that if you do not stand up and speak for pharmacy that you are leaving the decisions to our leg-islators Do you know your state legis-lators Have you spoken to yours It is important that they know who you are and what you stand for successful leg-islative efforts require a lot of work spe-cifically networking We are asking all pharmacists to join those already work-ing on your behalf

Getting Started1 send an email and then call your

state legislator to introduce yourself and show your passion for pharma-cy

2 set an appointment to meet your legislator face-to-face in their home office before December

3 Know the key pharmacy issues so we can present a unified voice

4 Join us and meet your legislator in Tallahassee next March during Flor-ida Pharmacist legislative Days

If you donrsquot know who your rep-resentative is find out by going to the FPA Web site (wwwpharmviewcom) and click on the Advocacy tab to find the link to ldquoWho Are My Florida state legislatorsrdquo

our grassroots effort is how you can make a difference If not you then who is going to educate our represen-tatives If you currently provide a leg-islator or their family with pharmacy services you are in a unique position to foster good will and educate them about what pharmacists can do lever-age what you know by talking to them about their drug therapy and present-ing MTM as a meaningful way to help control health care costs You have a powerful story to tell We hope you will take action and help move the profes-

See Viewpoint continued on page 22

O C T O B e r 2 0 0 9 | 7

Executive InsightBY MICHAEL JACKSON RPH

What is the Value of Professional organizations

These days we are all going to have to watch our spending hab-its and scrutinize which bills get

paid which bills get delayed and which bills we leave in decay While the nation and our state struggle to right them-selves during these challenging eco-nomic times it is no wonder that par-ticipation in membership organizations rise to the top of the scrutiny list

our personal budgets become a list of needs with the number of wants de-clining dramatically Food and shelter are essential expenditures that are not included in the disposable income bud-gets This is followed by transportation communication health care insurance education and training Disposable in-come generally has been used for such things as entertainment vacation gifts and charitable contributions It is with-in this part of our personal budgets that we allocate funds to support our pro-fessional associations and societies

Why sign up for membership in an organization While we each may have our own reasons some of the more ob-vious direct benefits include discounts on offered continuing-education pro-grams general assistance with regula-tory issues and discounts on services provided by the associationrsquos member benefits partners such as car rentals hotel stays and telecommunication ser-vices There also are benefits such as competitive rates on workers compen-sation insurance complimentary access to FPArsquos web based law and regulato-ry information resource and discounts on our controlled substance inventory booklet There also are benefits from re-ceiving breaking information on regu-latory and legislative changes to critical pharmacy rules and laws from news-

letters and the Associationrsquos monthly journal

The FPA has a member retention program called the 1 Club This orga-nization within the FPA is designed for members who believe so much in the Florida Pharmacy Associationrsquos mis-

sion and vision that they are willing to reach out to others to encourage their joining our organization There is a di-rect benefit here in that those members who actively recruit 10 regular mem-bers into the FPA receive a complimen-tary registration at the annual meeting a sporty red blazer and a plaque with recognition for their commitment In addition complimentary registration is awarded for the continued participation each year as an active 1 Club member through the recruitment of three new regular members during each conven-tion year

This is all great information how-ever there are other reasons to support your professional organizations that may not necessarily fall into direct ben-efit categories over the years the ca-reers of pharmacists have blossomed into areas that produced significant personal financial growth Part of this has been through the demand for phar-macist dispensing services the build-ing of many venues requiring licensed pharmacists and the development and advertising of new prescription drugs

This demand for pharmacists though moderating in recent years has created a number of new career options for currently practicing pharmacists as well as for new pharmacy candidates enrolled in our five colleges and uni-versities here in Florida We hope that our members are aware that this pro-fession was advocated for by the Flor-ida Pharmacy Association through the creation of the Board of Pharmacy The purpose was to ensure that only those who qualify should be allowed to prac-tice this profession The intent was also

[The 1 Club] within the FPA is designed for members who believe

so much in the Florida Pharmacy Associationrsquos

mission and vision that they are willing to reach out to others to

encourage their joining our organization

BY MICHAEL JACKSON FPA ExECUTIvE vICE PRESIDENTCEO

Michael Jackson BPharm

8 | f L O r i d a p h a r m a C y T O d a y

Executive Vice PresidentCEOMichael Jackson

(850) 222-2400 ext 200Director of Continuing Education

Tian Merren-Owens ext 120Controller

Wanda Hall ext 211Membership CoordinatorRanada Simmons ext 110

Educational Services Office AssistantStacey Brooks ext 210

FLORIDA PHARMACY TODAY BOARDChair Designate Betty Harris Lighthouse Point Treasurer Stephen Grabowski TampaSecretary Stuart Ulrich Boynton BeachMember Joseph Koptowsky MiamiMember Jennifer Pytlarz BrandonExecutive Editor Michael Jackson TallahasseeManaging Editor Dave Fiore Tallahassee

This is a peer reviewed publication copy2009 FLORIDA PHARMACY JOURNAL INCARTICLE ACCEPTANCE The Florida Phar-macy Today is a publication that welcomes articles that have a direct pertinence to the current practice of pharmacy All articles are subject to review by the Publication Review Committee editors and other outside referees Submitted articles are received with the understanding that they are not being considered by another publication All articles become the property of the Florida Pharmacy Today and may not be published without written permission from both the author and the Florida Pharmacy Today The Florida Pharmacy Association assumes no responsibility for the statements and opinions made by the authors to the Florida Pharmacy Today

The Journal of the Florida Pharmacy Association does not accept for publication articles or letters concerning religion politics or any other subject the editorspublishers deem unsuitable for the readership of this journal In addition The Journal does not accept advertising material from persons who are running for office in the association The editors reserve the right to edit all materials submitted for publication Letters and materials submitted for consideration for publication may be subject to review by the Editorial Review Board

FLORIDA PHARMACY TODAY Annual sub-scription - United States and foreign Indi-vidual $36 Institution $70year $500 single copies Florida residents add 7 sales tax

Florida Pharmacy association

610 N Adams St bull Tallahassee FL 32301850222-2400 bull FAX 850561-6758

Web Address httpwwwpharmviewcom

FPA STAFF

Over half of your dues go into the funding of our advocacy program

to advocate for consumer confidence in the services that we provide and that our profession has individuals with the skills and knowledge to resolve pa-tient medication issues without causing harm

Keep in mind that other benefits in-clude the vast networking opportu-nities to gain knowledge from others within our organization who have de-veloped innovative practices or who have resolved a health care service re-

lated issue While we can learn much from what is published in the phar-macy press there is a wealth of knowl-edge from peer dialog at conferences and leadership meetings

organizations also share informa-tion of interest and value with their members The value of information in todayrsquos competitive world is truly un-derestimated I know of pharmacists who received lucrative promotions from their employer simply because they had information provided to them by their organizations or that no one else had It is no secret that many orga-nizations such as the FPA have active members who have the ability to make decisions whether a pharmacist candi-date has the necessary skills training and commitment to their profession in todayrsquos competitive hiring market

Having been a former district man-ager with responsibility over 58 pre-scription departments in three states I can tell you from experience that I looked carefully at applicants who could demonstrate to me their involve-ment in their growth and development beyond standard classroom internship training and work experience Those who were actively involved in their professional organizations and had the experience of networking and com-municating with consumers and oth-er health care practitioners with ease

generally were at a competitive advan-tage over a pharmacist candidate who could only produce a great transcript and time behind the workbench

Finally simply reporting legislative or regulatory changes to the practice act are not the sole task of professional organizations They also invest a con-siderable amount of resources into ad-vocating for change or revisions to the laws and rules that affect how you pro-vide services to patients as well as de-

fending against policy making that creates professional barriers In many cases the practice evolves beyond state and federal regulations Your profes-sional organizations work to facilitate the change necessary to make sure that the laws are sensible and relevant in to-dayrsquos modern pharmacy practice envi-ronment Then we must be a resource to you to help integrate these changes so that you do not fall out of compli-ance

A portion of our membership will be receiving renewal notices for the January billing cycle We hope that you have found some of the information in this article beneficial and encour-aging enough to invest in your pro-fession over half of your dues go into the funding of our advocacy program The dues paid by our regular members are barely equal to the cost associat-ed with drinking two bottled waters a week We hope that the information in this article encourages you to continue your support for our profession and al-low your dues to be an essential expen-diture Please consider it an investment in your future n

O C T O B e r 2 0 0 9 | 9

The concrete bricks are 4x8 and can be engraved with up to 14 characters per line three lines available spaces and punctuation count as one character Please fi nd enclosed my check for $_________ for _________ bricks

PLEASE PRINT Please charge my Master Card Visa

CARD EXP DATE

AUTHORIZED SIGNATURE

NAME

ADDRESS

CITY STATE ZIP

PHONE (W) (H)

O R D E R F O R M

Send to Florida Pharmacy Foundation 610 N Adams St Tallahassee FL 32301or fax to (850) 561-6758

Contributions to the Florida Pharmacy Foundation are tax deductible as a charitable contribution for federal income tax purposes Consult your CPA for complete details Fed Emp ID 59-2190074

A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE 1-800-435-7352 WITHIN THE STATE REGISTRATION DOES NOT IMPLY ENDORSEMENT APPROVAL OR RECOMMENDATION BY THE STATE

The Walkway of Recognition

YES I want to order _______ concrete bricks at $25000 each (Please copy form for additional inscriptions)

Have you been searching for just the right gift or thought of placing your name in perpetuity If so then consider purchasing an engraved brick for you or someone else

The main sidewalk at the Florida Pharmacy Association needs replacing The Florida Pharmacy Foundation has undertaken the project to repair and beautify the sidewalk with engraved personal bricks purchased by pharmacists or friends of pharmacy

Engraved 4x8 bricks can be purchased for $25000 each with the donorrsquos name engraved (3 lines available) or you could also purchase an engraved brick for someone you feel should be honored or remembered

The monies earned from this project will be used to fulfi ll the goals and future of the Foundation There are a limited number of bricks available ndash so it is fi rst come fi rst served

PLEASE PRINT INSCRIPTION

THE WALKWAY OF RECOGNITION

YOUR NAME HERE

FPA OFFICE

FoundationAdBrickesindd 1 122308 94448 PM

10 | f L O r i d a p h a r m a C y T O d a y

Visits to doctor n s for influenza-like illness (IlI) continued to increase in the United states and overall are higher than levels expected for this time of the year Total influenza n hospitalization rates for laboratory-con-firmed influenza are higher than expected for this time of year for adults and children And for children 5-17 and adults 18-49 years of age hospitalization rates from April ndash october 2009 exceed average flu season rates (for octo-ber through April) The proportion of n deaths attributed to pneumonia and in-fluenza (PampI) based on the 122 Cities Report has increased and now exceeds what is normally expected at this time of year In addition 19 flu-related pediatric deaths were reported this week 16 of these deaths were confirmed 2009 H1n1 and 3 were unsubtyped influenza A and like-ly to be 2009 H1n1 A total of 76 laboratory confirmed 2009 H1n1 pediatric deaths have been reported to CDC since April Thirty-seven states are reporting n widespread influen-za activity at this time They are Alabama Alaska Ari-zona Arkansas California Colorado Delaware Florida Georgia Idaho Illinois Indiana Iowa Kansas Kentucky louisiana Maryland Minnesota Mississippi Missouri nebraska nevada new Hampshire new Mexico new York north Carolina ohio oklahoma oregon Penn-sylvania south Carolina south Dakota Texas Tennes-see Virginia Washington and Wyoming Any reports of widespread influenza activity in september and october are very unusual Almost all of the influenza n viruses identified so far are 2009 H1n1 influenza A viruses These viruses remain similar to the virus chosen for the 2009 H1n1 vaccine and remain susceptible to the antiviral drugs oseltamivir and zanamivir with rare exception CDC Guidance for Businesses and Employers To Plan and Respond to the

2009ndash2010 Influenza Season

IntroductionThe Us Department of Health and Human servicesrsquo

(HHs) Centers for Disease Control and Prevention (CDC) with input from the Us Department of Homeland security (DHs) has developed updated guidance for employers of all sizes to use as they develop or review and update plans to re-

spond to 2009 H1n1 influenza now and during the upcom-ing fall and winter influenza season Businesses and employ-ers in general play a key role in protecting employeesrsquo health and safety as well as in limiting the negative impact of in-fluenza outbreaks on the individual the community and the nationrsquos economy employers who have developed pandemic plans should review and revise their plans in light of the cur-rent 2009 H1n1 influenza outbreak to take into account the extent and severity of disease in their community as outlined in this guidance2

Planning for Fall and Winter Influenza SeasonBusinesses may have already been impacted by the spring

and summer outbreaks of 2009 H1n1 influenza affecting their employees CDC anticipates that more communities may be affected than were in the springsummer 2009 andor more severely affected reflecting wider transmission and possibly greater impact In addition seasonal influenza viruses may cause illness at the same time as 2009 H1n1 this fall and win-ter In response to the anticipated spread of 2009 H1n1 in-fluenza the CDC has revised its recommendations to assist businesses and other employers of all sizes

The severity of illness that 2009 H1n1 influenza flu will cause (including hospitalizations and deaths) or the amount of illness that may occur as a result of seasonal influenza dur-ing the 2009ndash2010 influenza season cannot be predicted with a high degree of certainty Therefore employers should plan to be able to respond in a flexible way to varying levels of severity and be prepared to refine their pandemic influenza response plans if a potentially more serious outbreak of in-fluenza evolves during the fall and winter More people and communities are likely to be affected as influenza is more widely transmitted The CDC and its partners will continu-ously monitor national and international data on the severity of illness caused by influenza will disseminate the results of these ongoing surveillance assessments and will make addi-tional recommendations as needed

Considerations of Appropriate Response Strategies

All employers must balance a variety of objectives when determining how best to decrease the spread of influenza and lower the impact of influenza in the workplace They should

2009 H1N1 Flu Situation UpdateKey Flu Indicatorseach week CDC analyzes information about influenza disease activity in the United states and publishes findings of key flu indicators in a report called FluView During the week of september 27 - october 3 2009 a review of the key indictors found that influenza activity increased in the United states Below is a summary of the most recent key indicators

O C T O B e r 2 0 0 9 | 11

CONTROL YOUR ASSIGNMENTSCONTROL YOUR CAREER

The Alternative To A Traditional Career In Pharmacy

Career nan occupation undertaken for a significant period of a personrsquos life usually with opportunities for progress

bull Guaranteed Hours bull Professional Pay amp Benefitsbull Special Clients Flexible Assignmentsbull A Variety Of Bonus Programsbull Professional Development OpportunitiesCross Training

Professional Well-Managed Fair

04480 HensleyRX ReliefFlorida Pharmacy Todaymdash14 pg ad (35rdquox475rdquo)

A PhArmAcist And A LAwyer

Board of Pharmacy Licensure Disciplinary ProceedingsDefense of Chapter 499 Pedigree Laws Violations

Mergers and AcquisitionsCommercial Civil and Criminal Proceedings

KAHAN SHIR PL

Pharmacist AttorneyBrian A Kahan RPh JD

Licensed Florida Pharmacist and Attorney

STATEWIDE REPRESENTATION

561-999-5999bkahankahanshircom

1800 NW Corporate Blvd Suite 200 Boca Raton FL 33431

The hiring of a lawyer is an important decision that should not be based solely upon advertisements Before you decide ask us to send you free written information about our qualifications and experience

consider and communicate their objectives which may in-clude one or more of the following (a) reducing transmis-sion among staff (b) protecting people who are at increased risk of influenza related complications from getting infected with influenza (c) maintaining business operations and (d) minimizing adverse effects on other entities in their supply chains

employers should expect to see a wide range of disease patterns across the country employers should base their strategies and response to influenza outbreaks on local infor-mation from local and state public health authorities some of the key indicators that should be used when making deci-sions on appropriate responses are

Disease severity (ie hospitalization and death rates) in n

the community where business is locatedextent of disease (number of people who are sick) in the n

communityAmount of worker absenteeism in your business or orga- n

nizationImpact of disease on workforce populations that are vul- n

nerable and at higher risk (eg pregnant women employ-ees with certain chronic medical conditions that put them at increased risk for complications of influenza) andother factors that may affect employeesrsquo ability to get to n

work such as school dismissals or closures due to high levels of illness in children or school dismissalsemployers need to plan now to be able to obtain updated

information on these indicators from state and local health departments in each community where they have a business presence and to respond quickly to the changing reality on the ground employers with more than one business location are encouraged to provide local managers with the authori-ty to take appropriate actions outlined in their business pan-demic plan based on the condition in each locality

Preparedness and Response Recommendations

PLANNING FOR 2009 H1N1 AND THE 2009ndash2010 INFLUENzA SEASON

This guidance is designed to help employers plan for and respond to two possible conditions 1) a continuation of the current level of severity of influenza as was observed during the spring and summer of 2009 and 2) a more severe outbreak The first situation is what is being experienced in some com-munities nowmdashan outbreak of similar severity of 2009 H1n1 to the spring However even if the severity of the virus does not change planners should expect that there will be more people who are ill in the fall and winter as 2009 H1n1 out-breaks coincide with the seasonal influenza season and this level of absenteeism may impact business operations A sec-ond situation involves an outbreak of greater severity includ-ing more people with severe illness and thus more people hospitalized for influenza complications more deaths from influenza and a probable escalation of absenteeism

12 | f L O r i d a p h a r m a C y T O d a y

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Businesses should have an understanding of their normal seasonal absenteeism rates and know how to monitor their personnel for any unusual increases in absenteeism through the fall and winter Business continuity planners should as-sess their essential business functions now to determine at what threshold of absenteeism those functions would be threatened if absenteeism escalates Planners can then pre-pare to take more aggressive measures to protect continuity as absenteeism escalates towards those thresholds

even employers in communities that have not yet felt ef-fects from 2009 H1n1 influenza should plan for an influen-za outbreak this fall and winter and be ready to implement strategies to protect their workforce while ensuring continuity of operations During an influenza pandemic all sick people should stay home and away from the workplace hand wash-ing and covering coughs and sneezes should be encouraged and routine cleaning of commonly touched surfaces should be performed regularly If the severity of illness increases employers should be ready to implement additional measures while continuing to rigorously implement the interventions recommended for an outbreak similar to the springsummer 2009 H1n1 outbreak If severity increases public health offi-cials may recommend a variety of methods for increasing the physical distance between people (called social distancing) to reduce the spread of disease such as school dismissal child care program closure canceling large community gatherings canceling large business-related meetings spacing workers farther apart in the workplace canceling non-essential travel

and recommending work-from-home strategies for workers that can conduct their business remotely

Please remember employers should develop capabilities to respond to both scenarios and these two conditions serve only as a planning framework Businesses and other employ-ers should develop flexible capabilities to respond to either situation given the difficulties in accurately predicting the ex-tent and severity of 2009 H1n1 as it unfolds during the 2009ndash2010 influenza season Individual businesses may implement additional actions if they experience high absenteeism or business continuity is compromised In addition employers should be aware that other emergencies such as hurricanes or other natural disasters may happen during the fall and win-ter creating additional challenging problems for businesses and communities

WORk WITH STATE AND LOCAL PUBLIC HEALTH PARTNERS

Coordination with state and local health officials is strong-ly encouraged for all businesses so that timely and accurate information can guide appropriate responses in each location where their operations reside since the intensity of an out-break may differ according to geographic location local pub-lic health officials will be issuing guidance specific to their communities Also businesses could work with public health and community leaders to explore ways of improving accessi-bility of vaccination for the workforce and in the community

kEEP SICk WORkERS HOME

one of the best way to reduce the spread of influenza is to keep sick people away from well people However in the fall and winter it will not be possible to quickly determine if workers who are ill have 2009 H1n1 seasonal influenza or any number of other different conditions based on symptoms alone local and state health department surveillance infor-mation can be helpful to know when influenza is circulating in the community although the availability timeliness and amount of local information on when influenza is circulating may vary substantially from community to community

Workers who have symptoms of influenza-like illness3 are recommended to stay home and not come to work until at least 24 hours after their fever has resolved4 Regardless of the size of the business or the function or services that you pro-vide all employers should plan now to allow and encourage sick workers to stay home without fear of losing their jobs CDC recommends this strategy for all levels of severity em-ployers should plan now for how they will operate if there is significant absenteeism from sick workers However employ-ers should know that some persons with influenza including those ill with 2009 H1n1 do not have fever Therefore it will not be possible to exclude everyone who is ill with influenza from the workplace

BE PREPARED IF SCHOOLS DISMISS STUDENTS OR CHILD CARE PROGRAMS CLOSE

In some communities schools may dismiss students and childcare programs may close particularly if the severity in-

O C T O B e r 2 0 0 9 | 13

creases5 officials will make these decisions to protect pub-lic health but they will affect your businessrsquos functioning es-pecially affecting absenteeism Plan now to determine how you will operate if absenteeism spikes from increases in sick workers those who stay home to care for ill family members and those who must stay home to watch their children if dis-missed from school Businesses and other employers should prepare to institute flexible workplace and leave policies for these workers

Actions Employers Should Take NowReview or establish a flexible influenza pandemic plan n

and involve your employees in developing and reviewing your planConduct a focused discussion or exercise using your plan n

to find out ahead of time whether the plan has gaps or problems that need to be corrected before flu seasonHave an understanding of your organizationrsquos normal n

seasonal absenteeism rates and know how to monitor your personnel for any unusual increases in absenteeism through the fall and winterengage state and local health department to confirm n

channels of communication and methods for dissemina-tion of local outbreak informationAllow sick workers to stay home without fear of losing n

their jobsDevelop other flexible leave policies to allow workers to n

stay home to care for sick family members or for children if schools dismiss students or child care programs closeshare your influenza pandemic plan with employees and n

explain what human resources policies workplace and leave flexibilities and pay and benefits will be available to themshare best practices with other businesses in your com- n

munities (especially those in your supply chain) cham-bers of commerce and associations to improve communi-ty response efforts andAdd a ldquowidgetrdquo or ldquobuttonrdquo to your company Web page n

or employee Web sites so employees can access the lat-est information on influenza wwwcdcgovwidgets and wwwcdcgovsocialMediaCampaignsH1n1buttonshtml

Important Components of an Influenza Pandemic Plan

Be prepared to implement multiple measures to protect n

workers and ensure business continuity A layered ap-proach will likely work better than using just one mea-sureIdentify possible work-related exposure and health risks n

to your employees The occupational safety and Health Administration (osHA) has developed tools to determine if your employees are at risk of work-related exposures and if so how to respond (see wwwoshagovdsgtopics

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14 | f L O r i d a p h a r m a C y T O d a y

City of Tallahassee Declares October as American Pharmacists Month

Tallahassee Mayor John Marks has declared october as American Pharmacist Month In a procla-mation signed on october 1 2009 Mayor Marks urged all citizens to acknowledge the valuable servic-es of pharmacists to provide safe affordable and beneficial pharma-ceutical care services and prod-ucts to all citizens

The Florida Pharmacy Associa-tion wish to thank our FAMU in-tern Carina Davison for her work with the City of Tallahassee dur-ing her rotation here at the FPA of-fice

FROM THE GOVERNING BODY OFTHE CITY OF TALLAHASSEE

PROCLAMATIONWhereas pharmacy is one of the oldest of the health professions con-cerned with the health and well-being of all people andWhereas today there are over 254000 pharmacists practicing in the United States and over 400 pharmacists licensed in the city of Tallahassee providing services to assure the rational and safe use of all medications andWhereas the use of medication as a cost-effective alternative to more expensive medical procedures is becoming a major force in moderating overall health care costs andWhereas todays powerful medications require greater attention to the manner in which they are used by different patient population groups -both clinically and demographically andWhereas it is important that all users of prescription and nonprescrip-tion medications or their caregivers be knowledgeable about and share responsibility for their own drug therapy andWhereas the American Pharmacists Association and the Florida Phar-macy Association have declared October as American Pharmacists Month with the theme Know Your Medicines - Know Your Pharmacist

Now therefore be it resolved that I John Marks do hereby proclaim October as

American Pharmacists Month

in the city of Tallahassee and urge all our citizens to acknowledge the valuable services of pharmacists to provide safe affordable and beneficial pharmaceutical care services and products to all citizens

O C T O B e r 2 0 0 9 | 15

pandemicfluindexhtml)Review human resources policies to make sure that poli- n

cies and practices are consistent with public health rec-ommendations and are consistent with existing state and federal workplace laws (for more information on employ-er responsibilities employers should visit the Department of laborrsquos and the equal employment opportunity Com-missionrsquos websites at wwwdolgov and wwweeocgov)Allow employees to stay home if they are ill have to care n

for ill family members or must watch their children if schools or childcare facilities closeexplore whether you can establish policies and practices n

such as flexible worksites (eg telecommuting) and flex-ible work hours (eg staggered shifts) when possible to increased the physical distance among employees and be-tween employees and others if local public health author-ities recommend the use of social distancing strategies ensure that you have the information technology and in-frastructure needed to support multiple workers who may be able to work from homeIdentify essential business functions essential jobs or n

roles and critical elements within your supply chains (eg raw materials suppliers subcontractor servicesproducts and logistics) required to maintain business op-erations Plan for how your business will operate if there is increasing absenteeism or these supply chains are inter-ruptedset up authorities triggers and procedures for activat- n

ing and terminating the companyrsquos response plan alter-ing business operations (eg possibly changing or closing operations in affected areas) and transferring business knowledge to key employees Work closely with your lo-cal health officials to identify these triggersPlan to minimize exposure to fellow employees or the n

public if public health officials call for social distancingestablish a process to communicate information to work- n

ers and business partners on your 2009 H1n1 influenza response plans and latest 2009 H1n1 influenza informa-tion Anticipate employee fear anxiety rumors and mis-information and plan communications accordingly

over the past several years HHs CDC DHs osHA eeoC and other federal partners have developed guidelines including checklists to assist businesses industries and oth-er employers in planning for a pandemic outbreak Review these resources to assist in your planning efforts wwwflugovplanworkplaceplanningindexhtml

The recommendations that follow provide guidance on how employers can develop strategies and respond to two levels of severity local conditions will influence the deci-sions that public health officials make regarding community-level strategies employers should take the time now to learn about plans in place in each community where they have a presence

Recommended Employer Responses for the 2009-2010 Flu SeasonRecommended Action Steps under Current Flu Conditions (similar severity as in SpringSummer 2009)

If the severity of illness in the fall and winter is similar to that observed in the spring and summer of 2009 the effects of 2009 H1n1 influenza may not have substantial impacts on absenteeism though some increase in absenteeism over the spring season is anticipated When larger numbers of people become ill correspondingly larger numbers of people will be-come seriously ill and may require hospitalization

SICK PERSONS SHOuLD STAY HOMEAdvise workers to be alert to any signs of fever and any n

other signs of influenza-like illness6 before reporting to work each day and notify their supervisor and stay home if they are ill employees who are ill should not travel while they are illCDC recommends that employees with influenza-like ill- n

ness remain at home until at least 24 hours after they are free of fever (100deg F [378deg C] or greater) or signs of a fever without the use of fever-reducing medicationsexpect sick employees to be out for about 3 to 5 days in n

most cases even if antiviral medications are usedensure that your sick leave policies are flexible and con- n

sistent with public health guidance and that employees are well aware of these policiesTalk with companies that provide your company with n

contract or temporary workers about the importance of sick workers staying home and encourage them to devel-op non-punitive leave policiesDo not require a doctorrsquos note for workers who are ill with n

influenza-like illness to validate their illness or to return to work as doctorrsquos offices and medical facilities may be extremely busy and may not be able to provide such doc-umentation in a timely way employees who are well but who have an ill family mem- n

ber at home with influenza can go to work as usual How-ever these employees should monitor their health every day and notify their supervisor and stay home if they be-come ill employers should maintain flexible policies that permit employees to stay home to care for an ill family member employers should be aware that more workers may need to stay at home to care for ill children or other ill family members than is usual

SICK EMPLOYEES AT WORK SHOuLD BE ASKED TO gO HOME

CDC recommends that workers who appear to have an n

influenza-like illness upon arrival or become ill during the day be promptly separated from other workers and be advised to go home until at least 24 hours after they are free of fever (100deg F [378deg C] or greater) or signs of a fever without the use of fever-reducing medications Those who become ill with symptoms of an influenza-like n

illness during the work day should be

16 | f L O r i d a p h a r m a C y T O d a y

o separated from other workers and asked to go home promptly (For recommendations on personal protec-tive equipment for a person assisting the ill employee see Interim Recommendations for Facemask and Res-pirator Use to Reduce novel Influenza A (H1n1) Vi-rus Transmission httpwwwcdcgovh1n1flumaskshtm)

o When possible and if they can tolerate it workers with influenza-like illness should be given a surgical mask to wear before they go home if they cannot be placed in an area away from others

If an employee becomes ill at work inform fellow employ- n

ees of their possible exposure in the workplace to influen-za-like illness but maintain confidentiality as required by the Americans with Disabilities Act (ADA) For more in-formation on privacy issues please refer to httpwwwflugovfaqworkplace_questionsequal_employmentin-dexhtmlPrivacyIssues employees exposed to a sick co-worker should monitor themselves for symptoms of influ-enza-like illness and stay home if they are sick

COVER COugHS AND SNEEzESInfluenza viruses are thought to spread mainly from per- n

son to person in respiratory droplets of coughs and sneez-es Provide employee messages on the importance of cov-ering coughs and sneezes with a tissue or in the absence of a tissue onersquos sleeve Place posters in the worksite that encourages cough and sneeze etiquetteProvide tissues and no-touch disposal receptacles for use n

by employees

IMPROVE HAND HYgIENEInfluenza may be spread via contaminated hands In- n

struct employees to wash their hands often with soap and water or use an alcohol-based hand cleaner especially af-ter coughing or sneezing Place posters in the worksite that encourage hand hygieneProvide soap and water and alcohol-based hand sanitiz- n

ers in the workplace ensure that adequate supplies are maintained If feasible place hand sanitizers in multiple locations or in conference rooms to encourage hand hy-giene

CLEAN SuRFACES AND ITEMS THAT ARE MORE LIKELY TO HAVE FREquENT HAND CONTACT

Frequently clean all commonly touched surfaces in the n

workplace such as workstations countertops and door-knobs Use the cleaning agents that are usually used in these areas and follow the directions on the labelno additional disinfection beyond routine cleaning is rec- n

ommendedENCOuRAgE EMPLOYEES TO gET VACCINATED

encourage your employees to get vaccinated for seasonal n

influenza For information on groups prioritized for sea-sonal influenza vaccines please see httpwwwcdcgovfluprotectkeyfactshtm encourage your employees also to get vaccinated for 2009 n

H1n1 influenza when vaccines are available to them Dif-ferent groups are prioritized for 2009 H1n1 influenza than for seasonal influenza For information on groups prioritized for H1n1 influenza vaccine please see httpwwwcdcgovh1n1fluvaccinationaciphtm offer opportunities at your worksite for influenza vacci- n

nation Consider granting employees time off from work to get vaccinated if not offered at the worksiteReview the health benefits you offer employees and work n

with insurers to explore if they can cover the costs of in-fluenza vaccination

TAKE MEASuRES TO PROTECT EMPLOYEES WHO ARE AT HIgHER RISK FOR COMPLICATIONS OF INFLuENzA

People at higher risk for complications from influenza in- n

clude pregnant women children under 5 years of age adults and children who have chronic lung disease (such as asthma) heart disease diabetes diseases that suppress the immune system and other chronic medical conditions and those who are 65 years or older7 Inform employees that some people are at higher risk of n

complications from influenza and that if they are at high-er risk for complications they should check with their health care provider if they become ill early treatment with antiviral medications is very important for people at high risk because it can prevent hospitalizations and deathsencourage employees recommended for seasonal influ- n

enza vaccine and 2009 H1n1 vaccines to get vaccinated as soon as these vaccines are available For information on groups prioritized for seasonal and H1n1 vaccines please see httpwwwcdcgovfluprotectkeyfactshtm and httpwwwcdcgovh1n1fluvaccinationaciphtmemployees who become ill and are at increased risk of n

complications from influenza and ill employees who are concerned about their illness should call their health care provider for advice Their health care provider might want them to take antiviral medications to reduce the likelihood of severe complications from the influenzasee n httpwwwcdcgovh1n1fluqahtm for more infor-mation

PREPARE FOR INCREASED NuMBERS OF EMPLOYEE ABSENCES DuE TO ILLNESS IN EMPLOYEES AND THEIR FAMILY MEMBERS AND PLAN WAYS FOR ESSENTIAL BuSINESS FuNCTIONS TO CONTINuE

employers should plan to monitor and respond to ab- n

senteeism at the workplace Implement plans to contin-ue your essential functions in case you experience high-er than usual absenteeism elevated absentee rates can be due to sick workers those who need to stay home and care for others or from workers with conditions that make them at higher risk for complications from influen-za and who may be worried about coming to work Cross-train personnel to perform essential functions so n

that the workplace is able to operate even if key staff are absent

O C T O B e r 2 0 0 9 | 17

Assess your essential functions and the reliance that oth- n

ers and the community have on your services or products Be prepared to change your business practices if need-ed to maintain critical operations (eg identify alternative suppliers prioritize customers or temporarily suspend some of your operations if needed)

ADVISE EMPLOYEES BEFORE TRAVELINg TO TAKE CERTAIN STEPS

Advise workers to check themselves for fever and any n

other signs of influenza-like illness before starting travel and notify their supervisor and stay home if they are illAdvise employees who will be traveling or on temporary n

assignment about precautions they may need to take to protect their health and who to call if they become illemployees who become ill while traveling and are at in- n

creased risk of complications from influenza and oth-ers concerned about their illness should promptly call a health care provider for adviceensure employees who become ill while traveling or on n

temporary assignment understand that they should noti-fy their supervisor If outside the United states ill employees should fol- n

low your companyrsquos policy for obtaining medical care or contact a health care provider or overseas medical assis-tance company to assist them with finding an appropriate health care provider in that country if needed A Us con-sular officer can help locate health care services However Us embassies consulates and military facilities do not have the legal authority capability and resources to evac-uate or give medications vaccines or medical care to pri-vate Us citizens overseassee CDCrsquos Travel Website ( n httpwwwncdcgovtrav-elcontentnovel-h1n1-fluaspx) for more information for travelers

PREPARE FOR THE POSSIBILITY OF SCHOOL DISMISSAL OR TEMPORARY CLOSuRE OF CHILD CARE PROgRAMS

Although school dismissals or closures of child care pro- n

grams are not likely to be generally recommended at this level of severity they are possible in some jurisdictions Be prepared to allow workers to stay home to care for n

children if schools are dismissed or child care programs are closed strongly recommend that parents not bring their children n

with them to work while schools are dismissedensure that your leave policies are flexible and non-puni- n

tive Cross-train employees to cover essential functions n

Read CDCrsquos Guidance for state and local Public Health n

officials and school Administrators for school (K-12) Re-sponses which can be found at httpwwwcdcgovh1n-1fluschoolsschoolguidancehtm to better understand the conditions under which schools may be dismissed

Under Conditions with Increased Severity Compared to SpringSummer 2009

If 2009 H1n1 becomes more severe than during springsummer 2009 absenteeism will likely be far greater and ad-ditional protective measures to slow the spread of influenza may be considered Check with your local health department for the extent and severity of disease activity in your commu-nity and for recommendations for necessary measures Deci-sions about what tools should be used during a severe 2009 H1n1 outbreak should be based on the observed severity of the event its impact on specific subpopulations the need to protect workers the expected benefit of the interventions the feasibility of success of implementing these measures the di-rect and indirect costs of different interventions and the ef-fects on critical infrastructure health care delivery and soci-ety The following are measures that should be considered if influenza severity increases and are meant for use in addition to the measures outlined above

CONSIDER ACTIVE SCREENINg OF EMPLOYEES WHO REPORT TO WORK

If influenza severity increases at the beginning of the n

workday or with each new shift all employees should be asked about symptoms consistent with an influenza ill-ness8 such as fever or chills AnD cough or sore throat If the severity or the impact of influenza increases CDC rec-ommends that persons with an influenza-like illness not come to work or travel and remain at home for at least 7 days even if symptoms resolve sooner Individuals who are still sick 7 days after they become ill should continue to stay home until at least 24 hours after symptoms have resolved If influenza severity increases CDC recom-mends that people stay home at least 7 days whether or not antiviral medications are usedMake sure your sick leave policies are flexible and consis- n

tent with public health guidance and that your employ-ees are aware of these policies Do not require a doctorrsquos note for workers who are ill with n

influenzaContinue to advise workers to check for any signs of ill- n

ness before reporting to work each dayMake contingency plans for increased absenteeism n

caused by illness in workers or illness in workersrsquo family members that would require them to stay home Planning for absenteeism could include cross-training current em-ployees or hiring temporary workers

CONSIDER ALTERNATIVE WORK ENVIRONMENTS FOR EMPLOYEES AT HIgHER RISK FOR COMPLICATIONS OF INFLuENzA DuRINg PERIODS OF INCREASED INFLuENzA ACTIVITY IN THE COMMuNITY

employees with an underlying chronic medical condition n

or who are pregnant should consider calling their health care provider for advice about how to reduce their risk of exposure to influenza and if they get sick how best to get early treatment for influenzaIf influenza severity increases and if influenza transmis- n

sion is high in the community employers may want to evaluate their work environment to see how they can re-

18 | f L O r i d a p h a r m a C y T O d a y

duce the number of people that high-risk employees come in contact with such as exploring options for telecom-muting from home (if feasible) employers can also think about how workers at higher risk for influenza compli-cations could be reassigned to duties that have minimal contact with other employees clients or customers If these workers cannot be reassigned duties to reduce con-tact with others are concerned about their ability to avoid influenza at the workplace or will be in crowded condi-tions at work or while commuting to work then consider allowing employees at higher risk for influenza complica-tions to stay home from workCDC recommends that ill workers at higher risk of com- n

plications from influenza seek early treatment if they be-come illsee n httpwwwcdcgovh1n1fluqahtm for more infor-mation

CONSIDER INCREASINg SOCIAL DISTANCINg IN THE WORKPLACE

If influenza severity increases local public health offi- n

cials may recommend that employers implement mea-sures to increase the physical distance between people in the workplace to reduce the spread of influenza The goal should be for there to be at least 6 feet of distance between people at most times This is not a simple or easy strategy and would typically require considerable flexibility These measures may include avoiding crowded work settings canceling business-related face-to-face meetings spacing workers farther apart canceling non-essential travel in-creasing use of teleworking and using staggered shifts to allow fewer workers to be in the workplace at the same time9

If appropriate for your type of business and feasible re- n

view or develop policies for teleworking including an as-sessment of the capabilities and gaps of your current com-puter systems and availability of technical support Take remedial steps if needed and test your system in advance to assure it can handle an increase in remote usersRecommendations to increase social distancing may af- n

fect community functioning Because supply chain issues may be affected make sure you have plans for back-up suppliers

CONSIDER CANCELINg NON-ESSENTIAL BuSINESS TRAVEL AND ADVISINg EMPLOYEES ABOuT POSSIBLE DISRuPTIONS WHILE TRAVELINg OVERSEAS

If the severity of the outbreak worldwide increases in the n

fall or winter public health officials may recommend so-cial distancing strategies which include canceling non-es-sential travel and travel restrictions may be enacted by some countries which may limit the ability of employees to return home if they become ill while on travel statusIf influenza severity increases travelers should also be n

prepared for travel delays health screenings and other activities targeted towards travelers Provide information to travelers about contingency plans and how their travel

can be rebooked for these possible delays

PREPARE FOR SCHOOL DISMISSAL OR CLOSuRE OF CHILD CARE PROgRAMS

school dismissals and closure of child care programs are n

more likely at higher levels of severity Be prepared to allow workers to stay home to care for their children if schools are dismissed or child care programs are closed If dismissal is needed schools are being advised to dis-miss students for at least 5 to 7 calendar days or longer if necessary encourage employees who perform essential functions n

and who have children to plan for contingencies should local child care programs close or schools dismiss stu-dents Be prepared for prolonged absenteeism if schools dismiss n

students for an extended time Make sure your leave poli-cies are flexible and non-punitive employers should strongly recommend that parents not n

bring their children with them to work while schools are dismissedImplement flexible workplace policies like teleworking n

and staggered shifts Cross-train employees to cover essential functions n

Read CDCrsquos school guidance which can be found at n

httpwwwcdcgovh1n1fluschoolsschoolguidancehtm to better understand the conditions under which schools may be dismissed

OTHER CONSIDERATIONSAs part of their comprehensive pandemic planning n

some public and private sector employers have stock-piled or otherwise arranged for influenza antiviral drugs to be available for their employees during a pandemic To guide these efforts HHs released guidance to busi-nesses in 2008 entitled Considerations for Antiviral Drug Stockpiling by Employers in Preparation for an Influenza Pan-demic (httpwwwflugovvaccineantiviral_employershtml) see updated interim guidance on the use of antivi-ral agents for treatment and prophylaxis of 2009 H1n1 in-fluenza infection at httpwwwcdcgovh1n1flurecom-mendationshtmemployers should be aware that the severity of 2009 n

H1n1 influenza could change rapidly therefore local public health recommendations to communities and busi-nesses could be revised quickly Planners should identi-fy sources of timely and accurate information so they are aware of changes to recommendations and can promptly implement revised or additional measures recommended by local public health officials

O C T O B e r 2 0 0 9 | 19

The Florida Pharmacy Association 2009 ResolutionsPresented to the House of Delegates

It is an honor to serve as your 2009-2010 FPA speaker of the House of Delegates I have the privilege of follow-ing in the footsteps of some of FPArsquos most effective and prominent leaders and speakers including most recently suzanne Kelly

The House meeting held during the 2009 FPA An-nual Meeting in st Augustine was a lively and exciting meeting for our association If you missed the meeting or unaware of how the FPA House of Delegates serves itrsquos membership I strongly encourage you to contact myself directly or any of the FPA House of Delegates Board of Di-rectors Any one of us will be happy to get you involved and excited about this group and share with you how ev-ery resolution directly impacts the direction of the associ-ation and you its member

The FPA Board of Directors of the House of Delegates is made up of the following faithful memberssuzanne Kelly ndash Chair of the House of Delegates Board

of DirectorsAlexander Pytlarz ndash speaker of the House of DelegatesWilliam Riffee ndash Vice-speakershannon Zandy ndash DirectorCaridad Ferree ndash DirectorJosh Fields ndash Director Karen Whalen ndash FPA PresidentHumberto Martinez ndash FPA President-electMichael A Mone ndash ParliamentarianMichael A Jackson ndash FPA executive Vice President amp

Ceoon behalf of the House Board of Directors Irsquod like to

welcome the newest members of the House Board of Di-

rectors Dean William Riffee Vice-speaker and Caridad Ferree Director were elected at this years FPA Annual Meeting We look forward to their involvement

The House also had the privilege of introducing two new invited organizations to the House They are nige-rian Pharmacists Association and Florida Independent Pharmacy network

If any member represents an organization that wants to be involved in the House of Delegates please contact me directly I will be happy to work with you and your or-ganization so you are represented within the House and have your voice heard by all FPA members

At this past yearrsquos meeting the House reviewed eight submitted resolutions Below is a summary of the actions of the each resolution that the House took and to what committee the adopted resolutions were referred to by your President Karen Whalen Please review these reso-lutions as they will impact the policies and direction of our association If you have any comments or questions please feel free to contact me or any member of the House Board As always itrsquos never too early to start thinking about possible resolutions for next years House

Thank you for the opportunity to serve you and the Florida Pharmacy Association

Best regards

Alexander Pytlarz2009-2010 speaker of the House of Delegates

RESOLUTION 1

Pharmacy Manager in Charge Man-date rule changes for the State require to be on-site 24 hr perweekBroward County Pharmacist Associa-tion

Whereas There is no statutory or rule requirement for a Manager in Charge to be present in the Pharmacy

Whereas over the last few years in-ternet practices and non-pharmacist owned pharmacies have flourished in practice settings that were poorly su-pervised

Be it Resolved that the FPA propose that the Florida Pharmacy Board pro-mulgate rules which safeguard the public by having a Responsible par-ty (Pharmacy Manager of Record) on

premises 24 hrs per given week

Contact Broward County Pharmacist AssocDaniel P sweet RPhPast President Board Member954-232-8202

Intent To protect the public from non-pharmacist owners to influence the practice of pharmacy by placing a phar-

20 | f L O r i d a p h a r m a C y T O d a y

macist on record without reviewing the day to day operations of Pharmacy Practice and its Rules and statues

Resolution not Adopted

Respectfully submitted

Broward County Pharmacist Associa-tion

RESOLUTION 2

Repeal 40 hr Rule for Community Pharmacy PermitBroward County Pharmacist Associa-tion

Whereas the Practice of Pharmacy is evolving to an Information Profession where pharmacists will be reviewing medication therapy

Whereas in populated areas there are multiple pharmacies in a compact radi-us

Be it Resolved that the Florida Board of Pharmacy act in repealing the 40 hr rule for Community Pharmacy Permit withstanding that there is a pharmacy within 5 miles with extended hours or a 24 hr pharmacy within 2 miles

Contact Daniel P sweet RPhPast President Board Member Broward County Pharmacist Assoc954-232-8202

Intent With Pharmacy Practice evolv-ing with more Pharmacists are going to use there education to create office type practice The Pharmacist will need to be off-site to review medications and council patients on the use of their medication

Respectfully submittedBroward County Pharmacist Associa-tion

Motion to amendAmendment passedspeaker unable to determine the posi-

tion of the House on voice votestanding vote called for by the House speakerResolution adopted on standing vote

RESOLUTION 3

Physician Dispensing ndash Limiting Scope as Pertains to Controlled Sub-stancesBroward County Pharmacists Associa-tion

Whereas a significant problem regard-ing the misuse of controlled substances in our state has been identified and

Whereas the checks and balances that the pharmacist brings to the equation of reducing the potential for misuse of controlled substances due to conflicts of interest is circumvented in the phy-sician dispensing model

Be it Resolved that the FPA seek legis-lative changes to limit the in-office dis-pensing of controlled substances up to and not more than a three (3) day sup-ply Contact Broward County Pharmacists AssociationDaniel P sweet RPhPast President Board Member954-232-8202

Motion to amend the phrase ldquowork with the respective BoardsrdquoAmendment is adoptedMotion to amend by adding the words ldquouprdquo and the words ldquoand not more thanrdquo to the first sentenceMotion to amend passesMotion to amend by striking the last sentence of the resolveMotion to amend passesResolution Adopted

Intent With the advent of Pain Man-agement Clinics with Dispensaries Pa-tient safety and control is lost by not having a Pharmacist oversee the pa-tientsrsquo therapeutic management with-in the guidelines of the FDA and Con-trolled substance Abuse Act

RESOLUTION 4

Pharmacy Service TaxBroward County Pharmacists Associa-tion

Whereas Pharmacy has assumed the burden of absorbing the costs associat-ed with receiving and sending data to all sources

Whereas these costs continue to grow and are not associated with the cost of the product or filling fee received then

Be it Resolved that the FPA work with the proper legislative process for the state to create a TAX for prescriptions to cover all communication costs inher-ent in Rx processing for e-prescribing communications to PBMrsquos and data re-porting costs for handling in-state re-porting of Controlled substances

Be it Further Resolved that the col-lected tax be used only for Pharmacy Claims Administrative Costs in han-dling the claims and bear no economic andor administrative burdens on the pharmacy

Resolution not Adopted

Contact Broward County Pharmacists AssociationDaniel P sweet RPhPast President Board Member954-232-8202

Intent With greater dependency on data network and associated costs to all pharmacies we have been placed in a pinch With the state controlling the process we gain on many fronts First no back-end costs on any Rx claim next the state can legally charge PBMrsquos un-der contract and will be responsible for collecting the tax and lastly the state can use their collective bargain-ing power to reduce the costs associat-ed with data transmission

Respectfully submitted

Broward County Pharmacists Associa-tion

O C T O B e r 2 0 0 9 | 21

RESOLUTION 5

RPh Not a Degree Designationleon County Pharmacy Association

WHEREAS pharmacists with a PharmD degree very proudly and rightfully use their degree designation of PharmD with their name and

WHEREAS pharmacists with a BsP degree generally use RPh with their name and

WHEREAS the designation of RPh for Registered Pharmacist is not a degree designation and was enacted into the original Florida Pharmacy Practice Act of 1889 The current practice act defines a pharmacist as a licensed Pharmacist lPh

THEREFORE the leon County Phar-macy Association moves that the FPA promote the use of the BPharm desig-nation for the BsP degree in place of the RPh designation which no longer is ref-erenced in the Florida Pharmacy Prac-tice Act

Motion to amendMotion to amend failsResolution Adopted

Contact persons Michael A Jackson- (850) 222- 2400Jim Powers- (850) 422- 0079

Background The resolution pretty well speaks for itself however it should be noted that in most national pharmacy publications pharmacists with a BsP degree are using the BPharm designa-tion behind their names In research-ing Dr Gene Gramlingrsquos book ldquoA His-tory of Pharmacy in Floridardquo it has the Florida Pharmacy Practice Act of 1889 which reads as follows section 4 Be it further enacted that the Board of Phar-macy shall register in a suitable book the names and places of residence of all persons to whom they issue certifi-cates and dates thereof It shall be the duty of said Board of Pharmacy to reg-ister without examination as registered pharmacists all pharmacists and drug-gists who are engaged in business in

the state of Florida at the passage of this act as owners or principals of stores or pharmacies In any village town or city of more than 200 inhabitants helliprdquo

RESOLUTION 6

Long Term Care regulatory frame-workFlorida Chapter of American society of Consultant Pharmacist

Whereas the Florida regulatory frame-work for long-term care pharmacy should be reviewed periodically to en-sure that it is consistent with current practice the FPA legislative commit-tee resolves to coordinate with the Flor-ida Chapter of the American society of Consultant Pharmacists to review the current regulatory framework for long-Term Care pharmacy in Florida

Resolved that the FPA legislative Committee coordinate with the Flori-da Chapter of the American society of Consultant Pharmacists to review the current regulatory framework for long-Term Care Pharmacy in Florida

Resolve substituted by the sponsor and accepted by the House substitute Resolution Adopted

Contact name and Phone stephen J Grabowski (727) 945-0760

Problem As the number of our nationrsquos seniors has grown so to have the de-mands and challenges placed upon the pharmacists serving those seniors who live in long-term care facilities since the practice of pharmacy has evolved over the years with increased workload demands changing roles of pharmacy technicians and new technologies so too have the regulatory guidelines and oversight responsibilities of the state boards

Intent not only will the practice of pharmacy need to adapt to the needs of seniors in long-term care facilities but state board of pharmacies and phar-macists under their preview must un-

derstand the impact of these changes Pharmacists practicing in long-term care must collaborate with state boards of pharmacy to update practice acts to ensure the protection of the health safety and welfare of the public

RESOLUTION 7

Evaluation of the ldquoPedigree Docu-mentation Programrdquo as stated in Flor-ida Statue 499Alachua County Association of Phar-macists

Whereas Florida statue 499 states that its purpose is to safeguard the public health and promote the public welfare by protecting the public from injury by product use and by merchandising de-ceit involving drugs devices and cos-metics

Whereas Pharmacies Pharmacists Pharmacy Wholesalers Pharmaceuti-cal Manufacturers and Pharmacy Re-packagers are all an integral part of this program

Whereas there is financial costs associ-ated with this program

Whereas there are penalties associated with this program

RESOLVED - The FPA request the Agency for Health Care Administra-tion to evaluate the ldquoPedigree Docu-mentation Programrdquo (49901212) to de-termine effectiveness and identification of improvements in the program for the protection of the public safety

Problem - The state of Florida enact-ed the ldquoPedigree Documentation Pro-gramrdquo (49901212) to keep adulterated and misbranded pharmaceuticals from consumers

Intent - To determine the effectiveness of the ldquoPedigree Documentation Pro-gramrdquo in achieving its purpose

Resolution Adopted

22 | f L O r i d a p h a r m a C y T O d a y

sion forward Please join us in Talla-hassee next March

FPA Legislative Key Contact Network

The FPA legislative Committee would like to match up at least one pharmacist with every key legisla-tor in the state If you currently have a relationship with one of your state legislators or if you are willing to take the steps listed above to be one of our grassroots advocates we want to know sign up to be a member of our Key legislative Contacts If you can help please let us know by con-tacting any member of the legisla-tive Committee listed below or you may contact me directly at klwizcomcastnet

lastly your legislative Commit-tee deserves a BIG ldquoThank Yourdquo for their time and effort These mem-bers have stepped up to help our profession grow and prosper Fol-lowing is a list of the members of the 2009-2010 FPA legislative Commit-teeDavid AndrewsDon BergemannGary DalinMitchell FingerhutAmy FerrolRamy GabrielMark HobbsMichael JacksonHumberto MartinezMark PercifieldManny PrieguezAlexander PytlarzTeysha RichardsonWilliam RiffeeTheresa Tollenorman TomakaAmanda Waltemathlori WeemsKaren WhalenRobert WilburChristine Yocum

Ken Wisniewski2009-2010 legislative Committee Chair

Viewpoint continued from page 5Respectfully submitted

Alachua County Association of Phar-macists

RESOLUTION 8

Continuous quality Improvement Program-Program EvaluationAlachua County Association of Phar-macists

Whereas the CQI Program is a system of standards and procedures to identify and evaluate quality-related events and improve patient care

Whereas some of the main goals of FPA and the Board of Pharmacy is to improve patient care and safety

Whereas an evaluation of the CQI Pro-gram may identify improvements that could be incorporated into the pro-gram

Whereas information about patient safety practices obtained from the pro-gram evaluation would be helpful if shared with the pharmacists of Florida and the nation

Resolved that the FPA request the Flor-ida Board of Pharmacy to conduct a Program evaluation of the Continuous Quality Improvement Program (64B16-27300)

Problem- since the enactment of 64B16-27300 Continuous Quality Improve-ment (CQI) Program there has not been a program evaluation

Intent- The evaluation of the CQI Pro-gram for effectiveness

Respectfully submittedAlachua County Association of Phar-macists

Resolution Adopted

JOIN TODAY

Florida Pharmacy Association

O C T O B e r 2 0 0 9 | 23

RESOLUTION 1Pharmacy Manager in Charge Man-date rule changes for the State require to be on-site 24 hr perweekBroward County Pharmacist Associa-tion Whereas There is no statutory or rule requirement for a Manager in Charge to be present in the PharmacyWhereas over the last few years in-ternet practices and non-pharmacist owned pharmacies have flourished in practice settings that were poorly su-pervisedBe it Resolved that the FPA propose that the Florida Pharmacy Board pro-mulgate rules which safeguard the public by having a Responsible par-ty (Pharmacy Manager of Record) on premises 24 hrs per given weekContact Broward County Pharmacist AssocDaniel P sweet RPhPast President Board Member954-232-8202Intent To protect the public from non-pharmacist owners to influence the practice of pharmacy by placing a phar-macist on record without reviewing the day to day operations of Pharmacy Practice and its Rules and statuesResolution Not AdoptedRespectfully SubmittedBroward County Pharmacist Associa-tion

RESOLUTION 2

Repeal 40 hr Rule for Community Pharmacy PermitBroward County Pharmacist Associa-tion Whereas the Practice of Pharmacy is evolving to an Information Profession where pharmacists will be reviewing medication therapyWhereas in populated areas there are multiple pharmacies in a compact radi-usBe it Resolved that the Florida Board of Pharmacy act in repealing the 40 hr rule for Community Pharmacy Permit withstanding that there is a pharmacy within 5 miles with extended hours or a 24 hr pharmacy within 2 milesContact

Daniel P sweet RPhPast President Board Member Broward County Pharmacist Assoc954-232-8202 Intent With Pharmacy Practice evolv-ing with more Pharmacists are going to use there education to create office type practice The Pharmacist will need to be off-site to review medications and council patients on the use of their medicationRespectfully SubmittedBroward County Pharmacist Associa-tion Motion to amendAmendment passedSpeaker unable to determine the posi-tion of the House on voice voteStanding vote called for by the House SpeakerResolution adopted on standing vote

RESOLUTION 3

Physician Dispensing ndash Limiting Scope as Pertains to Controlled Sub-stancesBroward County Pharmacists Associa-tionWhereas a significant problem regard-ing the misuse of controlled substances in our state has been identified andWhereas the checks and balances that the pharmacist brings to the equation of reducing the potential for misuse of controlled substances due to conflicts of interest is circumvented in the phy-sician dispensing model Be it Resolved that the FPA seek legis-lative changes to limit the in-office dis-pensing of controlled substances up to and not more than a three (3) day sup-ply Contact Broward County Pharmacists Associa-tionDaniel P sweet RPhPast President Board Member954-232-8202Motion to amend the phrase ldquowork with the respective BoardsrdquoAmendment is adoptedMotion to amend by adding the words ldquouprdquo and the words ldquoand not more thanrdquo to the first sentenceMotion to amend passes

Motion to amend by striking the last sentence of the resolveMotion to amend passesResolution AdoptedIntent With the advent of Pain Man-agement Clinics with Dispensaries Pa-tient safety and control is lost by not having a Pharmacist oversee the pa-tientsrsquo therapeutic management with-in the guidelines of the FDA and Con-trolled substance Abuse Act

RESOLUTION 4

Pharmacy Service TaxBroward County Pharmacists Associa-tionWhereas Pharmacy has assumed the burden of absorbing the costs associat-ed with receiving and sending data to all sourcesWhereas these costs continue to grow and are not associated with the cost of the product or filling fee received thenBe it Resolved that the FPA work with the proper legislative process for the state to create a TAX for prescriptions to cover all communication costs inher-ent in Rx processing for e-prescribing communications to PBMrsquos and data re-porting costs for handling in-state re-porting of Controlled substancesBe it Further Resolved that the col-lected tax be used only for Pharmacy Claims Administrative Costs in han-dling the claims and bear no economic andor administrative burdens on the pharmacyResolution Not AdoptedContact Broward County Pharmacists Associa-tionDaniel P sweet RPhPast President Board Member954-232-8202Intent With greater dependency on data network and associated costs to all pharmacies we have been placed in a pinch With the state controlling the process we gain on many fronts First no back-end costs on any Rx claim next the state can legally charge PBMrsquos un-der contract and will be responsible for collecting the tax and lastly the state can use their collective bargain-ing power to reduce the costs associat-

EmailFax Network HotlineReceive up-to-date and up-to-the-min-ute information on legislative Develop-ments Board of Pharmacy changes and other topics affecting the profession of pharmacy Call FPA Member services at (850) 222-2400 ext 110 ndash rsimmonspharmviewcom

Tax ResourceProvides defense and protection of your assets when you are audited Tax Resource will defend their clients for any income tax audit Federal or state for any tax year Tax Resource pio-neered the tax audit service business and is the largest audit defense firm in the United states Call (800) 92-AUDIT (800-922-8348)

Atlantic Coupon Redemption Center Receive payment in 25 working days of couponrsquos face value plus a rebate of 16 cents based on store volume Call Meredith McCord (800) 223-0398

Florida Commerce Federal Credit Union The chief objective of a credit union is not generating profits for stockholders but to provide service to its member The members benefit by getting attrac-tive returns on savings loans made at fair rates of interest plus enhanced and expanded services This is probably one of the best deals around Call (850) 488-0035

Collection Services For past due accounts call I C system Inc Call (800) 328-9595

Other Member Benefits n Discounted Continuing education

Programsn Monthly Issues of the Florida Phar-

macy Today Journal

ITC Deltacom offering FPA members exclusive associa-tion discounts on telecommunication ser-vices including local services long dis-tance data networks telephone systems and dedicated internet access Call 850-701-3200 or visit wwwitcdeltacomcom

Pharmacy Resource Materials FPA provides the most recent and rele-vant resources necessary to meet your professional needs This includes the Continuous Quality Improvement Manu-al Controlled substance Inventory Book-lets and Pharmacy signs Please call FPA Members services for more information 850-222-2400 ext 110

FPA Website Visit our FPA Website at wwpharmviewcom The site launched in December 2004 and revised in october 2008 includes a members only section The website of-fers a secure server so that you can reg-isters for Ce programs renew your mem-bership or purchase resources materials with your credit card

in keeping with a tradition of offering our members real benefits the Florida Pharmacy association (FPa) is proud to announce the introduction of sponsored discount Benefits Program these vendors are dedicated to providing an excellent value to all FPa members and associates to take advantage of benefits contact the vendors directly at the numbers listed below and identify yourself as a FPa member and have your membership id number handy

MEMBERSHIP MATTERS

Florida Pharmacy Association

24 | f L O r i d a p h a r m a C y T O d a y

Wyeth Bowl of Hygeia

Awarded to a pharmacist for out-standing community service above and beyond professional duties The use of the following selection criteria is re-quired

The recipient must be a Florida li- n

censed pharmacist and a member of FPAThe recipient must be living Awards n

are not presented posthumouslyThe recipient has not previously re- n

ceived the awardThe recipient is not currently serving n

nor has heshe served within the immediate past 2 years on its award committee or an officer of the asso-ciation in other than an ex officio ca-pacityThe recipient has compiled an out- n

standing record of community ser-vice which apart from hisher spe-cific identification as a pharmacist reflects well on the profession

James H Beal Award

Awarded to the Pharmacist of the Year The criteria established for this award is that the recipient be a Flori-da registered pharmacist and a mem-ber of FPA who has rendered outstand-ing service to pharmacy within the past five yearsCriteria

The recipient must be a Florida reg- n

istered pharmacist and a member of the FPAThe recipient has rendered outstand- n

ing service to pharmacy within the past five years

Technician of the Year AwardAwarded annually to a Florida

pharmacy technician who is recog-nized for hisher outstanding perfor-mance and achievement during hisher career

Criteria

Candidate must be a member of n

the Florida Pharmacy Association for at least 2 yearsCandidate must have demonstrat- n

ed contributions and dedication to the advancement of pharmacy technician practiceCandidate must have demonstrat- n

ed contributions to the Florida Pharmacy Association andor oth-er pharmacy organizationsCandidate must have demonstrat- n

ed commitment to community ser-viceCandidate is not a past recipient of n

this award

RQ Richards Award

This award is based on outstanding achievement in the field of pharmaceu-tical public relations in FloridaCriteria

The recipient must be a Florida reg- n

istered pharmacist and a member of the FPAThe recipient has displayed out- n

standing achievement in the field of pharmaceutical public relations in Florida

Frank TobackAZO Consultant

Pharmacist Award

CriteriaCandidate must be an FPA member n

registered with the Florida Board of Pharmacy as a consultant pharma-cist in good standingCandidate should be selected based n

on their outstanding achievements in the field of consultant pharmacy

DCPA Sidney Simkowitz

Pharmacy Involvement Award

Presented annually to a Florida pharmacist who has been active at the local and state pharmacy association level in advancement of the profes-sion of pharmacy in Florida

CriteriaA minimum of five years of active n

involvement in and contributions to the local association and FPACandidate must have held office at n

local level pharmacy associationMember in good standing for a pe- n

riod of at least five years in the FPA and must have served as a member or chairman of a committee of the associationCandidate must have been active- n

ly involved in a project that has or could potentially be of benefit to members of the profession

Pharmacists Mutual Companies

Distinguished Young Pharmacist

Award

Awarded to a young pharmacist for their involvement and dedication to the practice of pharmacyCriteria

licensed to practice for nine (9) years n

or lesslicensed to practice in the state in n

which selectedParticipation in national pharmacy n

association professional programs andor community service

IPA Roman Maximo Corrons

Inspiration amp Motivation Award

Interamerican Pharmacists Association created this award to honor the memo-ry of Roman M Corrons who inspired and motivated countless pharmacists to participate actively and aspire to take on leadership roles in their profession Roman was always there with guidance and support that motivated pharma-cists and encouraged visionary leader-ship approachable active membership and succession planning This award recognizes the motivators among us who inspire others to continue to ad-vance the professionCriteria

C a L L f O r N O m i N a T i O N s F P A A W A R D S 2 0 0 9 - 2 0 1 0

O C T O B e r 2 0 0 9 | 25

DEADLINE FOR NOMINATIONS FEBRUARY 28 2010

The recipient must be a Florida li- n

censed Pharmacist and a member of the FPACandidate should motivate others n

to excel within the profession by en-couraging them to be leadersCandidate is not necessarily an as- n

sociation officer but guides sup-ports andor inspires others

A brief description on the candidatersquos motivationalinspirational skills must accompany the nomination

The Jean Lamberti

Mentorship Award

The Jean lamberti Mentorship Award was established in 1998 to hon-or those pharmacists who have taken time to share their knowledge and ex-

perience with pharmacist candidates The award is named in honor of long time FPA member Jean lamberti for her effort in working with pharmacy studentsCriteria

The recipient must be an FPA mem- n

berThe recipient must serve as a role n

model for the profession of pharmacy

Innovative Pharmacy Practice

Award

Awarded to honor practicing phar-macists who have demonstrated inno-vation in pharmacy practice that has resulted in improved patient careCriteria

The recipient has demonstrated inno- n

vative pharmacy practice resulting in improved patient careThe recipient should be a practic- n

ing pharmacist within the geograph-ic area represented by the presenting Association

Qualified nominee A pharmacist prac-ticing within the geographic area repre-sented by the presenting Association

I AM PLEASED TO SUBMIT THE FOLLOWING NOMINATION

Name

Address

FOR THE FOLLOWING AWARD

(Nomination Deadline February 28 2009)

Wyeth Bowl of Hygeia Award

James H Beal Award

RQ Richards Award

Frank TobackAZO Consultant Pharmacist Award

DCPA Sydney Simkowitz Award

Pharmacists Mutual Co Distinguished Young Pharmacist Award

Academy of Pharmacy Practice Practitioner Merit Award

The Jean Lamberti Mentorship Award

IPA Roman Maximo Corrons Inspiration amp Motivation Award

Innovative Pharmacy Practice Award

Technician of the Year Award

NOMINATED BY

Name

Date Submitted

Signature

Please describe briefly below the nominees accomplishments indicating why you feel he or she should receive this award (Attach additional sheets if necessary)

C a L L f O r N O m i N a T i O N s F P A A W A R D S 2 0 0 9 - 2 0 1 0

F P A A W A R D S N O M I N A T I O N F O R M

mail nominatons to annual awards Florida Pharmacy association 610 n adams st tallahassee Fl 32301(850) 222-2400 FaX (850) 561-6758 dEadlinE For nominations is FEBrUary 28 2010

26 | f L O r i d a p h a r m a C y T O d a y

CALL FOR RESOLUTIONS TO THE 2010 HOUSE OF DELEGATES

The House of Delegates Board of Directors will meet in March 2010 to review and approve resolu-tions for the Annual Meeting The deadline for submitting resolutions is March 15 2010 PleAse noTe THIs DeADlIne

The following information will be needed when submitting resolutions

1 name of organization The name of the organization submitting the resolutions(s)2 name and telephone number of individuals A contact in the event clarification or further in-

formation is needed 3 Problem A statement of the problem addressed by the resolution4 Intent A statement of what passage of the resolution will accomplish5 Resolution Format (please type and use double spacing)

TiTle of ResoluTion

name of oRganizaTion

WheReas and

WheReas

TheRefoRe be iT

Resolved (ThaT The fPa oR subdivision of fPa)

ConTaCT name and Phone

PRoblem

inTenT

Page 4: October 2009 Florida Pharmacy Journal

4 | f L O r i d a p h a r m a C y T O d a y

E-MAIL YOUR SUGGESTIONSIDEAS TO

davefiorecommunicationscom

Mission Statementsof the florida pharmacy Today JournalThe Florida Pharmacy Today Journal is

a peer reviewed journal which serves as a

medium through which the Florida Phar-

macy Association can communicate with

the profession on advances in the sciences of

pharmacy socio-economic issues bearing on

pharmacy and newsworthy items of interest

to the profession As a self-supported journal

it solicits and accepts advertising congruent

with its expressed mission

of the florida pharmacy Today Boardof directors The mission of the Florida Pharmacy Today

Board of Directors is to serve in an advisory

capacity to the managing editor and execu-

tive editor of the Florida Pharmacy Today Journal in the establishment and interpreta-

tion of the Journalrsquos policies and the manage-

ment of the Journalrsquos fiscal responsibilities

The Board of Directors also serves to motivate

the Florida Pharmacy Association members

to secure appropriate advertising to assist the

Journal in its goal of self-support

AdvertisersHeAlTHCARe ConsUlTAnTs 3KAHAn sHIR Pl 11

MeDICAl sTAFFInG 12PHARMACY PRoVIDeR

seRVICes (PPsC) 13Rx RelIeF 11

2009

FPA Calendar NOvEMBER

7-8 FPa committee and council meetings

Marriott Orlando Downtown

11 VeteRans day - FPa oFFice closed

13-15 nasPa Fall symPosium

Naples Florida

17-20 ascP senioR caRe PhaRmacy meeting

Anaheim California

26-27 thanksgiVing FPa oFFice closed

DECEMBER

5-6 saRasota laW conFeRence

Hyatt Regency at Sarasota Bay

8-9 BoaRd oF PhaRmacy meeting

Jacksonville

6-10 ashP midyeaR Regional conFeRence

Las Vegas NV

24-25 chRistmas holiday - FPa oFFice closed

JANUARY

1 neW yeaRs - FPa oFFice closed

30-31 FPa laW amp RegulatoRy conFeRence

Sandestin FL

31 election Ballots due

FEBRUARY

28 aWaRds nomination deadline

MARCH

2 FloRida legislatiVe session Begins

12 -15 aPha annual meeting

Washington DC

23 - 25 PhaRmacy legislatiVe day at the FloRida caPital

24 FloRida PhaRmacists health FaiR

27 - 28 FPa committee and council meetings and BoaRd oF diRectoRs

CE CREDITS (Ce cycle)The Florida Board of Pharmacy requires 10 hours lIVe Continuing education as part

of the required 30 hours general education needed every license renewal periodPharmacists should have satisfied all continuing education requirements for this

biennial period by september 30 2011 or prior to licensure renewalFor Pharmacy Technician Certification Board Application exam Information and

study materials please contact Ranada simmons in the FPA officeFor More Information on Ce Programs or eventsContact the Florida Pharmacy Association at (850) 222-2400 or visit our Web site at

wwwpharmviewcom

CONTACTSFPA mdash Michael Jackson (850) 222-2400FsHP mdash Michael McQuone (850) 906-9333UF mdash Dan Robinson (352) 273-6240FAMU mdash leola Cleveland (850) 599-3301nsU mdash Carsten evans (954) 262-1300

DISCLAIMER Articles in this publication are designed to provide accurate and authoritative information with respect to the subject matter covered This information is provided with the under-standing that neither Florida Pharmacy Today nor the Florida Pharmacy Association are engaged in rendering legal or other professional services through this publication If expert assistance or legal advice is required the services of a competent professional should be sought The use of all medications or other pharmaceutical products should be used according to the recommendations of the manufacturers Information provided by the maker of the product should always be consulted before use

For a complete calendar of events go to wwwpharmviewcom

O C T O B e r 2 0 0 9 | 5

Almost every day you hear more about health care reform And today is no exception It is crit-

ical that pro-pharmacy issues be in-cluded in health care reform There-fore in mid-september FPA executive Vice President and Ceo Michael Jack-son and APhA President (and former FPA President) ed Hamilton traveled to Washington DC to do strategic vis-its on Capitol Hill They worked togeth-er with pharmacists from other states to inform the legislators of the benefits of pharmacist-provided MTM services and to support MTM provisions in the current health care reform proposals

In addition to all the changes on the national health care horizon Florida is

also looking at many other legislative issues that could affect the practice of pharmacy in our own state The Flori-da Pharmacy Association will be keep-ing a close watch on these issues for you this year

In July the FPA legislative Commit-tee met to determine a priority list of is-sues that need to be addressed during the 2010 legislative session The list is provided below with the caveat that priorities andor items may change if unforeseen issues that affect pharmacy arise during the legislative session The list of legislative priorities for the Flor-ida Pharmacy Association for the com-ing year is as follows1 PBM legislation The committee

has recommended this as the no 1 priority This is a national issue that will be difficult to advance in the current Florida legislature We will work to develop language for a bill to be introduced

2 Medicaid Appropriations This is-sue is always on our agenda last year we were faced with multiple reductions but were able to mini-mize the financial impact on phar-macy Will Medicaid reductions once again be an issue in 2010 We believe it is necessary to be pre-pared

3 Anti-substitution of epilepsy and immunosuppressant drugs This topic continues to be an item of dis-cussion around the country A study group that will look at phar-macists interchanging these pre-scription drugs has yet to meet but there may be more to come regard-ing this issue

4 Adequate funding for state pharma-cy schools This item will be moni-

legislative Update 2009-2010Have You Heard

The Presidentrsquos ViewpointBY GUEST COLUMNIST KEN WISNIEWSKI 2009-2010 LEGISLATIvE COMMITTEE CHAIR

Ken Wisniewski2009-2010 Legislative Committee Chair

6 | f L O r i d a p h a r m a C y T O d a y

The Florida Pharmacy Association gratefully acknowledges the hard work and dedication of the following members of the FPA leadership who work deligently all year long on behalf of our members

Norman Tomaka Chairman of the Board of DirectorsKaren Whalen FPA PresidentDon Bergemann TreasurerAlexander Pytlarz Speaker of the House of DelegatesDean William Riffee Vice Speaker of the House of DelegatesAlexander Pytlarz Speaker Elect Preston McDonald Director Region 1Marcus Dodd-o Director Region 2Al Tower Director Region 3 Raul N Correa Interim Director Region 4 John Noriega Director Region 5 Chris Lent Director Region 6Kim Murray Director Region 7Joy Marcus DirectorRegion 8Ayala Fishel Director Region 9Peter Iafrate President FSHPMichael Jackson Executive Vice President and CEO

Florida Pharmacy Today Journal Board

Chair Designate Betty Harris beejpharmgmailcomTreasurer Stephen Grabowski sgrabowskiseniormmccomSecretary Stuart Ulrich StuarxaolcomMember Joseph Koptowsky docjik1215aolcomMember Jennifer Pytlarz jlc_rxdochotmailcomExecutive Editor Michael Jackson mjacksonpharmviewcomManaging Editor Dave Fiore davefiorecommunicationscom

20092010 FPA Board of Directors tored When requested by the uni-versities we will support them on this issue

Seeking Grassroots AdvocatesWho makes the decisions that will

affect our profession Yes the legisla-tors would be one answer but the best answer is YoU

Have you heard that if you do not stand up and speak for pharmacy that you are leaving the decisions to our leg-islators Do you know your state legis-lators Have you spoken to yours It is important that they know who you are and what you stand for successful leg-islative efforts require a lot of work spe-cifically networking We are asking all pharmacists to join those already work-ing on your behalf

Getting Started1 send an email and then call your

state legislator to introduce yourself and show your passion for pharma-cy

2 set an appointment to meet your legislator face-to-face in their home office before December

3 Know the key pharmacy issues so we can present a unified voice

4 Join us and meet your legislator in Tallahassee next March during Flor-ida Pharmacist legislative Days

If you donrsquot know who your rep-resentative is find out by going to the FPA Web site (wwwpharmviewcom) and click on the Advocacy tab to find the link to ldquoWho Are My Florida state legislatorsrdquo

our grassroots effort is how you can make a difference If not you then who is going to educate our represen-tatives If you currently provide a leg-islator or their family with pharmacy services you are in a unique position to foster good will and educate them about what pharmacists can do lever-age what you know by talking to them about their drug therapy and present-ing MTM as a meaningful way to help control health care costs You have a powerful story to tell We hope you will take action and help move the profes-

See Viewpoint continued on page 22

O C T O B e r 2 0 0 9 | 7

Executive InsightBY MICHAEL JACKSON RPH

What is the Value of Professional organizations

These days we are all going to have to watch our spending hab-its and scrutinize which bills get

paid which bills get delayed and which bills we leave in decay While the nation and our state struggle to right them-selves during these challenging eco-nomic times it is no wonder that par-ticipation in membership organizations rise to the top of the scrutiny list

our personal budgets become a list of needs with the number of wants de-clining dramatically Food and shelter are essential expenditures that are not included in the disposable income bud-gets This is followed by transportation communication health care insurance education and training Disposable in-come generally has been used for such things as entertainment vacation gifts and charitable contributions It is with-in this part of our personal budgets that we allocate funds to support our pro-fessional associations and societies

Why sign up for membership in an organization While we each may have our own reasons some of the more ob-vious direct benefits include discounts on offered continuing-education pro-grams general assistance with regula-tory issues and discounts on services provided by the associationrsquos member benefits partners such as car rentals hotel stays and telecommunication ser-vices There also are benefits such as competitive rates on workers compen-sation insurance complimentary access to FPArsquos web based law and regulato-ry information resource and discounts on our controlled substance inventory booklet There also are benefits from re-ceiving breaking information on regu-latory and legislative changes to critical pharmacy rules and laws from news-

letters and the Associationrsquos monthly journal

The FPA has a member retention program called the 1 Club This orga-nization within the FPA is designed for members who believe so much in the Florida Pharmacy Associationrsquos mis-

sion and vision that they are willing to reach out to others to encourage their joining our organization There is a di-rect benefit here in that those members who actively recruit 10 regular mem-bers into the FPA receive a complimen-tary registration at the annual meeting a sporty red blazer and a plaque with recognition for their commitment In addition complimentary registration is awarded for the continued participation each year as an active 1 Club member through the recruitment of three new regular members during each conven-tion year

This is all great information how-ever there are other reasons to support your professional organizations that may not necessarily fall into direct ben-efit categories over the years the ca-reers of pharmacists have blossomed into areas that produced significant personal financial growth Part of this has been through the demand for phar-macist dispensing services the build-ing of many venues requiring licensed pharmacists and the development and advertising of new prescription drugs

This demand for pharmacists though moderating in recent years has created a number of new career options for currently practicing pharmacists as well as for new pharmacy candidates enrolled in our five colleges and uni-versities here in Florida We hope that our members are aware that this pro-fession was advocated for by the Flor-ida Pharmacy Association through the creation of the Board of Pharmacy The purpose was to ensure that only those who qualify should be allowed to prac-tice this profession The intent was also

[The 1 Club] within the FPA is designed for members who believe

so much in the Florida Pharmacy Associationrsquos

mission and vision that they are willing to reach out to others to

encourage their joining our organization

BY MICHAEL JACKSON FPA ExECUTIvE vICE PRESIDENTCEO

Michael Jackson BPharm

8 | f L O r i d a p h a r m a C y T O d a y

Executive Vice PresidentCEOMichael Jackson

(850) 222-2400 ext 200Director of Continuing Education

Tian Merren-Owens ext 120Controller

Wanda Hall ext 211Membership CoordinatorRanada Simmons ext 110

Educational Services Office AssistantStacey Brooks ext 210

FLORIDA PHARMACY TODAY BOARDChair Designate Betty Harris Lighthouse Point Treasurer Stephen Grabowski TampaSecretary Stuart Ulrich Boynton BeachMember Joseph Koptowsky MiamiMember Jennifer Pytlarz BrandonExecutive Editor Michael Jackson TallahasseeManaging Editor Dave Fiore Tallahassee

This is a peer reviewed publication copy2009 FLORIDA PHARMACY JOURNAL INCARTICLE ACCEPTANCE The Florida Phar-macy Today is a publication that welcomes articles that have a direct pertinence to the current practice of pharmacy All articles are subject to review by the Publication Review Committee editors and other outside referees Submitted articles are received with the understanding that they are not being considered by another publication All articles become the property of the Florida Pharmacy Today and may not be published without written permission from both the author and the Florida Pharmacy Today The Florida Pharmacy Association assumes no responsibility for the statements and opinions made by the authors to the Florida Pharmacy Today

The Journal of the Florida Pharmacy Association does not accept for publication articles or letters concerning religion politics or any other subject the editorspublishers deem unsuitable for the readership of this journal In addition The Journal does not accept advertising material from persons who are running for office in the association The editors reserve the right to edit all materials submitted for publication Letters and materials submitted for consideration for publication may be subject to review by the Editorial Review Board

FLORIDA PHARMACY TODAY Annual sub-scription - United States and foreign Indi-vidual $36 Institution $70year $500 single copies Florida residents add 7 sales tax

Florida Pharmacy association

610 N Adams St bull Tallahassee FL 32301850222-2400 bull FAX 850561-6758

Web Address httpwwwpharmviewcom

FPA STAFF

Over half of your dues go into the funding of our advocacy program

to advocate for consumer confidence in the services that we provide and that our profession has individuals with the skills and knowledge to resolve pa-tient medication issues without causing harm

Keep in mind that other benefits in-clude the vast networking opportu-nities to gain knowledge from others within our organization who have de-veloped innovative practices or who have resolved a health care service re-

lated issue While we can learn much from what is published in the phar-macy press there is a wealth of knowl-edge from peer dialog at conferences and leadership meetings

organizations also share informa-tion of interest and value with their members The value of information in todayrsquos competitive world is truly un-derestimated I know of pharmacists who received lucrative promotions from their employer simply because they had information provided to them by their organizations or that no one else had It is no secret that many orga-nizations such as the FPA have active members who have the ability to make decisions whether a pharmacist candi-date has the necessary skills training and commitment to their profession in todayrsquos competitive hiring market

Having been a former district man-ager with responsibility over 58 pre-scription departments in three states I can tell you from experience that I looked carefully at applicants who could demonstrate to me their involve-ment in their growth and development beyond standard classroom internship training and work experience Those who were actively involved in their professional organizations and had the experience of networking and com-municating with consumers and oth-er health care practitioners with ease

generally were at a competitive advan-tage over a pharmacist candidate who could only produce a great transcript and time behind the workbench

Finally simply reporting legislative or regulatory changes to the practice act are not the sole task of professional organizations They also invest a con-siderable amount of resources into ad-vocating for change or revisions to the laws and rules that affect how you pro-vide services to patients as well as de-

fending against policy making that creates professional barriers In many cases the practice evolves beyond state and federal regulations Your profes-sional organizations work to facilitate the change necessary to make sure that the laws are sensible and relevant in to-dayrsquos modern pharmacy practice envi-ronment Then we must be a resource to you to help integrate these changes so that you do not fall out of compli-ance

A portion of our membership will be receiving renewal notices for the January billing cycle We hope that you have found some of the information in this article beneficial and encour-aging enough to invest in your pro-fession over half of your dues go into the funding of our advocacy program The dues paid by our regular members are barely equal to the cost associat-ed with drinking two bottled waters a week We hope that the information in this article encourages you to continue your support for our profession and al-low your dues to be an essential expen-diture Please consider it an investment in your future n

O C T O B e r 2 0 0 9 | 9

The concrete bricks are 4x8 and can be engraved with up to 14 characters per line three lines available spaces and punctuation count as one character Please fi nd enclosed my check for $_________ for _________ bricks

PLEASE PRINT Please charge my Master Card Visa

CARD EXP DATE

AUTHORIZED SIGNATURE

NAME

ADDRESS

CITY STATE ZIP

PHONE (W) (H)

O R D E R F O R M

Send to Florida Pharmacy Foundation 610 N Adams St Tallahassee FL 32301or fax to (850) 561-6758

Contributions to the Florida Pharmacy Foundation are tax deductible as a charitable contribution for federal income tax purposes Consult your CPA for complete details Fed Emp ID 59-2190074

A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE 1-800-435-7352 WITHIN THE STATE REGISTRATION DOES NOT IMPLY ENDORSEMENT APPROVAL OR RECOMMENDATION BY THE STATE

The Walkway of Recognition

YES I want to order _______ concrete bricks at $25000 each (Please copy form for additional inscriptions)

Have you been searching for just the right gift or thought of placing your name in perpetuity If so then consider purchasing an engraved brick for you or someone else

The main sidewalk at the Florida Pharmacy Association needs replacing The Florida Pharmacy Foundation has undertaken the project to repair and beautify the sidewalk with engraved personal bricks purchased by pharmacists or friends of pharmacy

Engraved 4x8 bricks can be purchased for $25000 each with the donorrsquos name engraved (3 lines available) or you could also purchase an engraved brick for someone you feel should be honored or remembered

The monies earned from this project will be used to fulfi ll the goals and future of the Foundation There are a limited number of bricks available ndash so it is fi rst come fi rst served

PLEASE PRINT INSCRIPTION

THE WALKWAY OF RECOGNITION

YOUR NAME HERE

FPA OFFICE

FoundationAdBrickesindd 1 122308 94448 PM

10 | f L O r i d a p h a r m a C y T O d a y

Visits to doctor n s for influenza-like illness (IlI) continued to increase in the United states and overall are higher than levels expected for this time of the year Total influenza n hospitalization rates for laboratory-con-firmed influenza are higher than expected for this time of year for adults and children And for children 5-17 and adults 18-49 years of age hospitalization rates from April ndash october 2009 exceed average flu season rates (for octo-ber through April) The proportion of n deaths attributed to pneumonia and in-fluenza (PampI) based on the 122 Cities Report has increased and now exceeds what is normally expected at this time of year In addition 19 flu-related pediatric deaths were reported this week 16 of these deaths were confirmed 2009 H1n1 and 3 were unsubtyped influenza A and like-ly to be 2009 H1n1 A total of 76 laboratory confirmed 2009 H1n1 pediatric deaths have been reported to CDC since April Thirty-seven states are reporting n widespread influen-za activity at this time They are Alabama Alaska Ari-zona Arkansas California Colorado Delaware Florida Georgia Idaho Illinois Indiana Iowa Kansas Kentucky louisiana Maryland Minnesota Mississippi Missouri nebraska nevada new Hampshire new Mexico new York north Carolina ohio oklahoma oregon Penn-sylvania south Carolina south Dakota Texas Tennes-see Virginia Washington and Wyoming Any reports of widespread influenza activity in september and october are very unusual Almost all of the influenza n viruses identified so far are 2009 H1n1 influenza A viruses These viruses remain similar to the virus chosen for the 2009 H1n1 vaccine and remain susceptible to the antiviral drugs oseltamivir and zanamivir with rare exception CDC Guidance for Businesses and Employers To Plan and Respond to the

2009ndash2010 Influenza Season

IntroductionThe Us Department of Health and Human servicesrsquo

(HHs) Centers for Disease Control and Prevention (CDC) with input from the Us Department of Homeland security (DHs) has developed updated guidance for employers of all sizes to use as they develop or review and update plans to re-

spond to 2009 H1n1 influenza now and during the upcom-ing fall and winter influenza season Businesses and employ-ers in general play a key role in protecting employeesrsquo health and safety as well as in limiting the negative impact of in-fluenza outbreaks on the individual the community and the nationrsquos economy employers who have developed pandemic plans should review and revise their plans in light of the cur-rent 2009 H1n1 influenza outbreak to take into account the extent and severity of disease in their community as outlined in this guidance2

Planning for Fall and Winter Influenza SeasonBusinesses may have already been impacted by the spring

and summer outbreaks of 2009 H1n1 influenza affecting their employees CDC anticipates that more communities may be affected than were in the springsummer 2009 andor more severely affected reflecting wider transmission and possibly greater impact In addition seasonal influenza viruses may cause illness at the same time as 2009 H1n1 this fall and win-ter In response to the anticipated spread of 2009 H1n1 in-fluenza the CDC has revised its recommendations to assist businesses and other employers of all sizes

The severity of illness that 2009 H1n1 influenza flu will cause (including hospitalizations and deaths) or the amount of illness that may occur as a result of seasonal influenza dur-ing the 2009ndash2010 influenza season cannot be predicted with a high degree of certainty Therefore employers should plan to be able to respond in a flexible way to varying levels of severity and be prepared to refine their pandemic influenza response plans if a potentially more serious outbreak of in-fluenza evolves during the fall and winter More people and communities are likely to be affected as influenza is more widely transmitted The CDC and its partners will continu-ously monitor national and international data on the severity of illness caused by influenza will disseminate the results of these ongoing surveillance assessments and will make addi-tional recommendations as needed

Considerations of Appropriate Response Strategies

All employers must balance a variety of objectives when determining how best to decrease the spread of influenza and lower the impact of influenza in the workplace They should

2009 H1N1 Flu Situation UpdateKey Flu Indicatorseach week CDC analyzes information about influenza disease activity in the United states and publishes findings of key flu indicators in a report called FluView During the week of september 27 - october 3 2009 a review of the key indictors found that influenza activity increased in the United states Below is a summary of the most recent key indicators

O C T O B e r 2 0 0 9 | 11

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Professional Well-Managed Fair

04480 HensleyRX ReliefFlorida Pharmacy Todaymdash14 pg ad (35rdquox475rdquo)

A PhArmAcist And A LAwyer

Board of Pharmacy Licensure Disciplinary ProceedingsDefense of Chapter 499 Pedigree Laws Violations

Mergers and AcquisitionsCommercial Civil and Criminal Proceedings

KAHAN SHIR PL

Pharmacist AttorneyBrian A Kahan RPh JD

Licensed Florida Pharmacist and Attorney

STATEWIDE REPRESENTATION

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The hiring of a lawyer is an important decision that should not be based solely upon advertisements Before you decide ask us to send you free written information about our qualifications and experience

consider and communicate their objectives which may in-clude one or more of the following (a) reducing transmis-sion among staff (b) protecting people who are at increased risk of influenza related complications from getting infected with influenza (c) maintaining business operations and (d) minimizing adverse effects on other entities in their supply chains

employers should expect to see a wide range of disease patterns across the country employers should base their strategies and response to influenza outbreaks on local infor-mation from local and state public health authorities some of the key indicators that should be used when making deci-sions on appropriate responses are

Disease severity (ie hospitalization and death rates) in n

the community where business is locatedextent of disease (number of people who are sick) in the n

communityAmount of worker absenteeism in your business or orga- n

nizationImpact of disease on workforce populations that are vul- n

nerable and at higher risk (eg pregnant women employ-ees with certain chronic medical conditions that put them at increased risk for complications of influenza) andother factors that may affect employeesrsquo ability to get to n

work such as school dismissals or closures due to high levels of illness in children or school dismissalsemployers need to plan now to be able to obtain updated

information on these indicators from state and local health departments in each community where they have a business presence and to respond quickly to the changing reality on the ground employers with more than one business location are encouraged to provide local managers with the authori-ty to take appropriate actions outlined in their business pan-demic plan based on the condition in each locality

Preparedness and Response Recommendations

PLANNING FOR 2009 H1N1 AND THE 2009ndash2010 INFLUENzA SEASON

This guidance is designed to help employers plan for and respond to two possible conditions 1) a continuation of the current level of severity of influenza as was observed during the spring and summer of 2009 and 2) a more severe outbreak The first situation is what is being experienced in some com-munities nowmdashan outbreak of similar severity of 2009 H1n1 to the spring However even if the severity of the virus does not change planners should expect that there will be more people who are ill in the fall and winter as 2009 H1n1 out-breaks coincide with the seasonal influenza season and this level of absenteeism may impact business operations A sec-ond situation involves an outbreak of greater severity includ-ing more people with severe illness and thus more people hospitalized for influenza complications more deaths from influenza and a probable escalation of absenteeism

12 | f L O r i d a p h a r m a C y T O d a y

copy 2009 Medical Staffi ng Network Inc | PS-9005D

The Right Jobbull Flexible Schedulesbull Top Compensationbull Great Benefi tsbull Local or Travel

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Businesses should have an understanding of their normal seasonal absenteeism rates and know how to monitor their personnel for any unusual increases in absenteeism through the fall and winter Business continuity planners should as-sess their essential business functions now to determine at what threshold of absenteeism those functions would be threatened if absenteeism escalates Planners can then pre-pare to take more aggressive measures to protect continuity as absenteeism escalates towards those thresholds

even employers in communities that have not yet felt ef-fects from 2009 H1n1 influenza should plan for an influen-za outbreak this fall and winter and be ready to implement strategies to protect their workforce while ensuring continuity of operations During an influenza pandemic all sick people should stay home and away from the workplace hand wash-ing and covering coughs and sneezes should be encouraged and routine cleaning of commonly touched surfaces should be performed regularly If the severity of illness increases employers should be ready to implement additional measures while continuing to rigorously implement the interventions recommended for an outbreak similar to the springsummer 2009 H1n1 outbreak If severity increases public health offi-cials may recommend a variety of methods for increasing the physical distance between people (called social distancing) to reduce the spread of disease such as school dismissal child care program closure canceling large community gatherings canceling large business-related meetings spacing workers farther apart in the workplace canceling non-essential travel

and recommending work-from-home strategies for workers that can conduct their business remotely

Please remember employers should develop capabilities to respond to both scenarios and these two conditions serve only as a planning framework Businesses and other employ-ers should develop flexible capabilities to respond to either situation given the difficulties in accurately predicting the ex-tent and severity of 2009 H1n1 as it unfolds during the 2009ndash2010 influenza season Individual businesses may implement additional actions if they experience high absenteeism or business continuity is compromised In addition employers should be aware that other emergencies such as hurricanes or other natural disasters may happen during the fall and win-ter creating additional challenging problems for businesses and communities

WORk WITH STATE AND LOCAL PUBLIC HEALTH PARTNERS

Coordination with state and local health officials is strong-ly encouraged for all businesses so that timely and accurate information can guide appropriate responses in each location where their operations reside since the intensity of an out-break may differ according to geographic location local pub-lic health officials will be issuing guidance specific to their communities Also businesses could work with public health and community leaders to explore ways of improving accessi-bility of vaccination for the workforce and in the community

kEEP SICk WORkERS HOME

one of the best way to reduce the spread of influenza is to keep sick people away from well people However in the fall and winter it will not be possible to quickly determine if workers who are ill have 2009 H1n1 seasonal influenza or any number of other different conditions based on symptoms alone local and state health department surveillance infor-mation can be helpful to know when influenza is circulating in the community although the availability timeliness and amount of local information on when influenza is circulating may vary substantially from community to community

Workers who have symptoms of influenza-like illness3 are recommended to stay home and not come to work until at least 24 hours after their fever has resolved4 Regardless of the size of the business or the function or services that you pro-vide all employers should plan now to allow and encourage sick workers to stay home without fear of losing their jobs CDC recommends this strategy for all levels of severity em-ployers should plan now for how they will operate if there is significant absenteeism from sick workers However employ-ers should know that some persons with influenza including those ill with 2009 H1n1 do not have fever Therefore it will not be possible to exclude everyone who is ill with influenza from the workplace

BE PREPARED IF SCHOOLS DISMISS STUDENTS OR CHILD CARE PROGRAMS CLOSE

In some communities schools may dismiss students and childcare programs may close particularly if the severity in-

O C T O B e r 2 0 0 9 | 13

creases5 officials will make these decisions to protect pub-lic health but they will affect your businessrsquos functioning es-pecially affecting absenteeism Plan now to determine how you will operate if absenteeism spikes from increases in sick workers those who stay home to care for ill family members and those who must stay home to watch their children if dis-missed from school Businesses and other employers should prepare to institute flexible workplace and leave policies for these workers

Actions Employers Should Take NowReview or establish a flexible influenza pandemic plan n

and involve your employees in developing and reviewing your planConduct a focused discussion or exercise using your plan n

to find out ahead of time whether the plan has gaps or problems that need to be corrected before flu seasonHave an understanding of your organizationrsquos normal n

seasonal absenteeism rates and know how to monitor your personnel for any unusual increases in absenteeism through the fall and winterengage state and local health department to confirm n

channels of communication and methods for dissemina-tion of local outbreak informationAllow sick workers to stay home without fear of losing n

their jobsDevelop other flexible leave policies to allow workers to n

stay home to care for sick family members or for children if schools dismiss students or child care programs closeshare your influenza pandemic plan with employees and n

explain what human resources policies workplace and leave flexibilities and pay and benefits will be available to themshare best practices with other businesses in your com- n

munities (especially those in your supply chain) cham-bers of commerce and associations to improve communi-ty response efforts andAdd a ldquowidgetrdquo or ldquobuttonrdquo to your company Web page n

or employee Web sites so employees can access the lat-est information on influenza wwwcdcgovwidgets and wwwcdcgovsocialMediaCampaignsH1n1buttonshtml

Important Components of an Influenza Pandemic Plan

Be prepared to implement multiple measures to protect n

workers and ensure business continuity A layered ap-proach will likely work better than using just one mea-sureIdentify possible work-related exposure and health risks n

to your employees The occupational safety and Health Administration (osHA) has developed tools to determine if your employees are at risk of work-related exposures and if so how to respond (see wwwoshagovdsgtopics

I n d e p e n d e n t hellip B u t N o t A l o n e P P S C i s Y o u r P a r t n e r f o r S u c c e s s

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returns and Part B billingREDUCE claim resubmissionsINCREASE your profits

For more on how PPSC can maximize the potential of your independent pharmacy visit wwwppsconlinecom or call toll-free 888-778-9909

14 | f L O r i d a p h a r m a C y T O d a y

City of Tallahassee Declares October as American Pharmacists Month

Tallahassee Mayor John Marks has declared october as American Pharmacist Month In a procla-mation signed on october 1 2009 Mayor Marks urged all citizens to acknowledge the valuable servic-es of pharmacists to provide safe affordable and beneficial pharma-ceutical care services and prod-ucts to all citizens

The Florida Pharmacy Associa-tion wish to thank our FAMU in-tern Carina Davison for her work with the City of Tallahassee dur-ing her rotation here at the FPA of-fice

FROM THE GOVERNING BODY OFTHE CITY OF TALLAHASSEE

PROCLAMATIONWhereas pharmacy is one of the oldest of the health professions con-cerned with the health and well-being of all people andWhereas today there are over 254000 pharmacists practicing in the United States and over 400 pharmacists licensed in the city of Tallahassee providing services to assure the rational and safe use of all medications andWhereas the use of medication as a cost-effective alternative to more expensive medical procedures is becoming a major force in moderating overall health care costs andWhereas todays powerful medications require greater attention to the manner in which they are used by different patient population groups -both clinically and demographically andWhereas it is important that all users of prescription and nonprescrip-tion medications or their caregivers be knowledgeable about and share responsibility for their own drug therapy andWhereas the American Pharmacists Association and the Florida Phar-macy Association have declared October as American Pharmacists Month with the theme Know Your Medicines - Know Your Pharmacist

Now therefore be it resolved that I John Marks do hereby proclaim October as

American Pharmacists Month

in the city of Tallahassee and urge all our citizens to acknowledge the valuable services of pharmacists to provide safe affordable and beneficial pharmaceutical care services and products to all citizens

O C T O B e r 2 0 0 9 | 15

pandemicfluindexhtml)Review human resources policies to make sure that poli- n

cies and practices are consistent with public health rec-ommendations and are consistent with existing state and federal workplace laws (for more information on employ-er responsibilities employers should visit the Department of laborrsquos and the equal employment opportunity Com-missionrsquos websites at wwwdolgov and wwweeocgov)Allow employees to stay home if they are ill have to care n

for ill family members or must watch their children if schools or childcare facilities closeexplore whether you can establish policies and practices n

such as flexible worksites (eg telecommuting) and flex-ible work hours (eg staggered shifts) when possible to increased the physical distance among employees and be-tween employees and others if local public health author-ities recommend the use of social distancing strategies ensure that you have the information technology and in-frastructure needed to support multiple workers who may be able to work from homeIdentify essential business functions essential jobs or n

roles and critical elements within your supply chains (eg raw materials suppliers subcontractor servicesproducts and logistics) required to maintain business op-erations Plan for how your business will operate if there is increasing absenteeism or these supply chains are inter-ruptedset up authorities triggers and procedures for activat- n

ing and terminating the companyrsquos response plan alter-ing business operations (eg possibly changing or closing operations in affected areas) and transferring business knowledge to key employees Work closely with your lo-cal health officials to identify these triggersPlan to minimize exposure to fellow employees or the n

public if public health officials call for social distancingestablish a process to communicate information to work- n

ers and business partners on your 2009 H1n1 influenza response plans and latest 2009 H1n1 influenza informa-tion Anticipate employee fear anxiety rumors and mis-information and plan communications accordingly

over the past several years HHs CDC DHs osHA eeoC and other federal partners have developed guidelines including checklists to assist businesses industries and oth-er employers in planning for a pandemic outbreak Review these resources to assist in your planning efforts wwwflugovplanworkplaceplanningindexhtml

The recommendations that follow provide guidance on how employers can develop strategies and respond to two levels of severity local conditions will influence the deci-sions that public health officials make regarding community-level strategies employers should take the time now to learn about plans in place in each community where they have a presence

Recommended Employer Responses for the 2009-2010 Flu SeasonRecommended Action Steps under Current Flu Conditions (similar severity as in SpringSummer 2009)

If the severity of illness in the fall and winter is similar to that observed in the spring and summer of 2009 the effects of 2009 H1n1 influenza may not have substantial impacts on absenteeism though some increase in absenteeism over the spring season is anticipated When larger numbers of people become ill correspondingly larger numbers of people will be-come seriously ill and may require hospitalization

SICK PERSONS SHOuLD STAY HOMEAdvise workers to be alert to any signs of fever and any n

other signs of influenza-like illness6 before reporting to work each day and notify their supervisor and stay home if they are ill employees who are ill should not travel while they are illCDC recommends that employees with influenza-like ill- n

ness remain at home until at least 24 hours after they are free of fever (100deg F [378deg C] or greater) or signs of a fever without the use of fever-reducing medicationsexpect sick employees to be out for about 3 to 5 days in n

most cases even if antiviral medications are usedensure that your sick leave policies are flexible and con- n

sistent with public health guidance and that employees are well aware of these policiesTalk with companies that provide your company with n

contract or temporary workers about the importance of sick workers staying home and encourage them to devel-op non-punitive leave policiesDo not require a doctorrsquos note for workers who are ill with n

influenza-like illness to validate their illness or to return to work as doctorrsquos offices and medical facilities may be extremely busy and may not be able to provide such doc-umentation in a timely way employees who are well but who have an ill family mem- n

ber at home with influenza can go to work as usual How-ever these employees should monitor their health every day and notify their supervisor and stay home if they be-come ill employers should maintain flexible policies that permit employees to stay home to care for an ill family member employers should be aware that more workers may need to stay at home to care for ill children or other ill family members than is usual

SICK EMPLOYEES AT WORK SHOuLD BE ASKED TO gO HOME

CDC recommends that workers who appear to have an n

influenza-like illness upon arrival or become ill during the day be promptly separated from other workers and be advised to go home until at least 24 hours after they are free of fever (100deg F [378deg C] or greater) or signs of a fever without the use of fever-reducing medications Those who become ill with symptoms of an influenza-like n

illness during the work day should be

16 | f L O r i d a p h a r m a C y T O d a y

o separated from other workers and asked to go home promptly (For recommendations on personal protec-tive equipment for a person assisting the ill employee see Interim Recommendations for Facemask and Res-pirator Use to Reduce novel Influenza A (H1n1) Vi-rus Transmission httpwwwcdcgovh1n1flumaskshtm)

o When possible and if they can tolerate it workers with influenza-like illness should be given a surgical mask to wear before they go home if they cannot be placed in an area away from others

If an employee becomes ill at work inform fellow employ- n

ees of their possible exposure in the workplace to influen-za-like illness but maintain confidentiality as required by the Americans with Disabilities Act (ADA) For more in-formation on privacy issues please refer to httpwwwflugovfaqworkplace_questionsequal_employmentin-dexhtmlPrivacyIssues employees exposed to a sick co-worker should monitor themselves for symptoms of influ-enza-like illness and stay home if they are sick

COVER COugHS AND SNEEzESInfluenza viruses are thought to spread mainly from per- n

son to person in respiratory droplets of coughs and sneez-es Provide employee messages on the importance of cov-ering coughs and sneezes with a tissue or in the absence of a tissue onersquos sleeve Place posters in the worksite that encourages cough and sneeze etiquetteProvide tissues and no-touch disposal receptacles for use n

by employees

IMPROVE HAND HYgIENEInfluenza may be spread via contaminated hands In- n

struct employees to wash their hands often with soap and water or use an alcohol-based hand cleaner especially af-ter coughing or sneezing Place posters in the worksite that encourage hand hygieneProvide soap and water and alcohol-based hand sanitiz- n

ers in the workplace ensure that adequate supplies are maintained If feasible place hand sanitizers in multiple locations or in conference rooms to encourage hand hy-giene

CLEAN SuRFACES AND ITEMS THAT ARE MORE LIKELY TO HAVE FREquENT HAND CONTACT

Frequently clean all commonly touched surfaces in the n

workplace such as workstations countertops and door-knobs Use the cleaning agents that are usually used in these areas and follow the directions on the labelno additional disinfection beyond routine cleaning is rec- n

ommendedENCOuRAgE EMPLOYEES TO gET VACCINATED

encourage your employees to get vaccinated for seasonal n

influenza For information on groups prioritized for sea-sonal influenza vaccines please see httpwwwcdcgovfluprotectkeyfactshtm encourage your employees also to get vaccinated for 2009 n

H1n1 influenza when vaccines are available to them Dif-ferent groups are prioritized for 2009 H1n1 influenza than for seasonal influenza For information on groups prioritized for H1n1 influenza vaccine please see httpwwwcdcgovh1n1fluvaccinationaciphtm offer opportunities at your worksite for influenza vacci- n

nation Consider granting employees time off from work to get vaccinated if not offered at the worksiteReview the health benefits you offer employees and work n

with insurers to explore if they can cover the costs of in-fluenza vaccination

TAKE MEASuRES TO PROTECT EMPLOYEES WHO ARE AT HIgHER RISK FOR COMPLICATIONS OF INFLuENzA

People at higher risk for complications from influenza in- n

clude pregnant women children under 5 years of age adults and children who have chronic lung disease (such as asthma) heart disease diabetes diseases that suppress the immune system and other chronic medical conditions and those who are 65 years or older7 Inform employees that some people are at higher risk of n

complications from influenza and that if they are at high-er risk for complications they should check with their health care provider if they become ill early treatment with antiviral medications is very important for people at high risk because it can prevent hospitalizations and deathsencourage employees recommended for seasonal influ- n

enza vaccine and 2009 H1n1 vaccines to get vaccinated as soon as these vaccines are available For information on groups prioritized for seasonal and H1n1 vaccines please see httpwwwcdcgovfluprotectkeyfactshtm and httpwwwcdcgovh1n1fluvaccinationaciphtmemployees who become ill and are at increased risk of n

complications from influenza and ill employees who are concerned about their illness should call their health care provider for advice Their health care provider might want them to take antiviral medications to reduce the likelihood of severe complications from the influenzasee n httpwwwcdcgovh1n1fluqahtm for more infor-mation

PREPARE FOR INCREASED NuMBERS OF EMPLOYEE ABSENCES DuE TO ILLNESS IN EMPLOYEES AND THEIR FAMILY MEMBERS AND PLAN WAYS FOR ESSENTIAL BuSINESS FuNCTIONS TO CONTINuE

employers should plan to monitor and respond to ab- n

senteeism at the workplace Implement plans to contin-ue your essential functions in case you experience high-er than usual absenteeism elevated absentee rates can be due to sick workers those who need to stay home and care for others or from workers with conditions that make them at higher risk for complications from influen-za and who may be worried about coming to work Cross-train personnel to perform essential functions so n

that the workplace is able to operate even if key staff are absent

O C T O B e r 2 0 0 9 | 17

Assess your essential functions and the reliance that oth- n

ers and the community have on your services or products Be prepared to change your business practices if need-ed to maintain critical operations (eg identify alternative suppliers prioritize customers or temporarily suspend some of your operations if needed)

ADVISE EMPLOYEES BEFORE TRAVELINg TO TAKE CERTAIN STEPS

Advise workers to check themselves for fever and any n

other signs of influenza-like illness before starting travel and notify their supervisor and stay home if they are illAdvise employees who will be traveling or on temporary n

assignment about precautions they may need to take to protect their health and who to call if they become illemployees who become ill while traveling and are at in- n

creased risk of complications from influenza and oth-ers concerned about their illness should promptly call a health care provider for adviceensure employees who become ill while traveling or on n

temporary assignment understand that they should noti-fy their supervisor If outside the United states ill employees should fol- n

low your companyrsquos policy for obtaining medical care or contact a health care provider or overseas medical assis-tance company to assist them with finding an appropriate health care provider in that country if needed A Us con-sular officer can help locate health care services However Us embassies consulates and military facilities do not have the legal authority capability and resources to evac-uate or give medications vaccines or medical care to pri-vate Us citizens overseassee CDCrsquos Travel Website ( n httpwwwncdcgovtrav-elcontentnovel-h1n1-fluaspx) for more information for travelers

PREPARE FOR THE POSSIBILITY OF SCHOOL DISMISSAL OR TEMPORARY CLOSuRE OF CHILD CARE PROgRAMS

Although school dismissals or closures of child care pro- n

grams are not likely to be generally recommended at this level of severity they are possible in some jurisdictions Be prepared to allow workers to stay home to care for n

children if schools are dismissed or child care programs are closed strongly recommend that parents not bring their children n

with them to work while schools are dismissedensure that your leave policies are flexible and non-puni- n

tive Cross-train employees to cover essential functions n

Read CDCrsquos Guidance for state and local Public Health n

officials and school Administrators for school (K-12) Re-sponses which can be found at httpwwwcdcgovh1n-1fluschoolsschoolguidancehtm to better understand the conditions under which schools may be dismissed

Under Conditions with Increased Severity Compared to SpringSummer 2009

If 2009 H1n1 becomes more severe than during springsummer 2009 absenteeism will likely be far greater and ad-ditional protective measures to slow the spread of influenza may be considered Check with your local health department for the extent and severity of disease activity in your commu-nity and for recommendations for necessary measures Deci-sions about what tools should be used during a severe 2009 H1n1 outbreak should be based on the observed severity of the event its impact on specific subpopulations the need to protect workers the expected benefit of the interventions the feasibility of success of implementing these measures the di-rect and indirect costs of different interventions and the ef-fects on critical infrastructure health care delivery and soci-ety The following are measures that should be considered if influenza severity increases and are meant for use in addition to the measures outlined above

CONSIDER ACTIVE SCREENINg OF EMPLOYEES WHO REPORT TO WORK

If influenza severity increases at the beginning of the n

workday or with each new shift all employees should be asked about symptoms consistent with an influenza ill-ness8 such as fever or chills AnD cough or sore throat If the severity or the impact of influenza increases CDC rec-ommends that persons with an influenza-like illness not come to work or travel and remain at home for at least 7 days even if symptoms resolve sooner Individuals who are still sick 7 days after they become ill should continue to stay home until at least 24 hours after symptoms have resolved If influenza severity increases CDC recom-mends that people stay home at least 7 days whether or not antiviral medications are usedMake sure your sick leave policies are flexible and consis- n

tent with public health guidance and that your employ-ees are aware of these policies Do not require a doctorrsquos note for workers who are ill with n

influenzaContinue to advise workers to check for any signs of ill- n

ness before reporting to work each dayMake contingency plans for increased absenteeism n

caused by illness in workers or illness in workersrsquo family members that would require them to stay home Planning for absenteeism could include cross-training current em-ployees or hiring temporary workers

CONSIDER ALTERNATIVE WORK ENVIRONMENTS FOR EMPLOYEES AT HIgHER RISK FOR COMPLICATIONS OF INFLuENzA DuRINg PERIODS OF INCREASED INFLuENzA ACTIVITY IN THE COMMuNITY

employees with an underlying chronic medical condition n

or who are pregnant should consider calling their health care provider for advice about how to reduce their risk of exposure to influenza and if they get sick how best to get early treatment for influenzaIf influenza severity increases and if influenza transmis- n

sion is high in the community employers may want to evaluate their work environment to see how they can re-

18 | f L O r i d a p h a r m a C y T O d a y

duce the number of people that high-risk employees come in contact with such as exploring options for telecom-muting from home (if feasible) employers can also think about how workers at higher risk for influenza compli-cations could be reassigned to duties that have minimal contact with other employees clients or customers If these workers cannot be reassigned duties to reduce con-tact with others are concerned about their ability to avoid influenza at the workplace or will be in crowded condi-tions at work or while commuting to work then consider allowing employees at higher risk for influenza complica-tions to stay home from workCDC recommends that ill workers at higher risk of com- n

plications from influenza seek early treatment if they be-come illsee n httpwwwcdcgovh1n1fluqahtm for more infor-mation

CONSIDER INCREASINg SOCIAL DISTANCINg IN THE WORKPLACE

If influenza severity increases local public health offi- n

cials may recommend that employers implement mea-sures to increase the physical distance between people in the workplace to reduce the spread of influenza The goal should be for there to be at least 6 feet of distance between people at most times This is not a simple or easy strategy and would typically require considerable flexibility These measures may include avoiding crowded work settings canceling business-related face-to-face meetings spacing workers farther apart canceling non-essential travel in-creasing use of teleworking and using staggered shifts to allow fewer workers to be in the workplace at the same time9

If appropriate for your type of business and feasible re- n

view or develop policies for teleworking including an as-sessment of the capabilities and gaps of your current com-puter systems and availability of technical support Take remedial steps if needed and test your system in advance to assure it can handle an increase in remote usersRecommendations to increase social distancing may af- n

fect community functioning Because supply chain issues may be affected make sure you have plans for back-up suppliers

CONSIDER CANCELINg NON-ESSENTIAL BuSINESS TRAVEL AND ADVISINg EMPLOYEES ABOuT POSSIBLE DISRuPTIONS WHILE TRAVELINg OVERSEAS

If the severity of the outbreak worldwide increases in the n

fall or winter public health officials may recommend so-cial distancing strategies which include canceling non-es-sential travel and travel restrictions may be enacted by some countries which may limit the ability of employees to return home if they become ill while on travel statusIf influenza severity increases travelers should also be n

prepared for travel delays health screenings and other activities targeted towards travelers Provide information to travelers about contingency plans and how their travel

can be rebooked for these possible delays

PREPARE FOR SCHOOL DISMISSAL OR CLOSuRE OF CHILD CARE PROgRAMS

school dismissals and closure of child care programs are n

more likely at higher levels of severity Be prepared to allow workers to stay home to care for their children if schools are dismissed or child care programs are closed If dismissal is needed schools are being advised to dis-miss students for at least 5 to 7 calendar days or longer if necessary encourage employees who perform essential functions n

and who have children to plan for contingencies should local child care programs close or schools dismiss stu-dents Be prepared for prolonged absenteeism if schools dismiss n

students for an extended time Make sure your leave poli-cies are flexible and non-punitive employers should strongly recommend that parents not n

bring their children with them to work while schools are dismissedImplement flexible workplace policies like teleworking n

and staggered shifts Cross-train employees to cover essential functions n

Read CDCrsquos school guidance which can be found at n

httpwwwcdcgovh1n1fluschoolsschoolguidancehtm to better understand the conditions under which schools may be dismissed

OTHER CONSIDERATIONSAs part of their comprehensive pandemic planning n

some public and private sector employers have stock-piled or otherwise arranged for influenza antiviral drugs to be available for their employees during a pandemic To guide these efforts HHs released guidance to busi-nesses in 2008 entitled Considerations for Antiviral Drug Stockpiling by Employers in Preparation for an Influenza Pan-demic (httpwwwflugovvaccineantiviral_employershtml) see updated interim guidance on the use of antivi-ral agents for treatment and prophylaxis of 2009 H1n1 in-fluenza infection at httpwwwcdcgovh1n1flurecom-mendationshtmemployers should be aware that the severity of 2009 n

H1n1 influenza could change rapidly therefore local public health recommendations to communities and busi-nesses could be revised quickly Planners should identi-fy sources of timely and accurate information so they are aware of changes to recommendations and can promptly implement revised or additional measures recommended by local public health officials

O C T O B e r 2 0 0 9 | 19

The Florida Pharmacy Association 2009 ResolutionsPresented to the House of Delegates

It is an honor to serve as your 2009-2010 FPA speaker of the House of Delegates I have the privilege of follow-ing in the footsteps of some of FPArsquos most effective and prominent leaders and speakers including most recently suzanne Kelly

The House meeting held during the 2009 FPA An-nual Meeting in st Augustine was a lively and exciting meeting for our association If you missed the meeting or unaware of how the FPA House of Delegates serves itrsquos membership I strongly encourage you to contact myself directly or any of the FPA House of Delegates Board of Di-rectors Any one of us will be happy to get you involved and excited about this group and share with you how ev-ery resolution directly impacts the direction of the associ-ation and you its member

The FPA Board of Directors of the House of Delegates is made up of the following faithful memberssuzanne Kelly ndash Chair of the House of Delegates Board

of DirectorsAlexander Pytlarz ndash speaker of the House of DelegatesWilliam Riffee ndash Vice-speakershannon Zandy ndash DirectorCaridad Ferree ndash DirectorJosh Fields ndash Director Karen Whalen ndash FPA PresidentHumberto Martinez ndash FPA President-electMichael A Mone ndash ParliamentarianMichael A Jackson ndash FPA executive Vice President amp

Ceoon behalf of the House Board of Directors Irsquod like to

welcome the newest members of the House Board of Di-

rectors Dean William Riffee Vice-speaker and Caridad Ferree Director were elected at this years FPA Annual Meeting We look forward to their involvement

The House also had the privilege of introducing two new invited organizations to the House They are nige-rian Pharmacists Association and Florida Independent Pharmacy network

If any member represents an organization that wants to be involved in the House of Delegates please contact me directly I will be happy to work with you and your or-ganization so you are represented within the House and have your voice heard by all FPA members

At this past yearrsquos meeting the House reviewed eight submitted resolutions Below is a summary of the actions of the each resolution that the House took and to what committee the adopted resolutions were referred to by your President Karen Whalen Please review these reso-lutions as they will impact the policies and direction of our association If you have any comments or questions please feel free to contact me or any member of the House Board As always itrsquos never too early to start thinking about possible resolutions for next years House

Thank you for the opportunity to serve you and the Florida Pharmacy Association

Best regards

Alexander Pytlarz2009-2010 speaker of the House of Delegates

RESOLUTION 1

Pharmacy Manager in Charge Man-date rule changes for the State require to be on-site 24 hr perweekBroward County Pharmacist Associa-tion

Whereas There is no statutory or rule requirement for a Manager in Charge to be present in the Pharmacy

Whereas over the last few years in-ternet practices and non-pharmacist owned pharmacies have flourished in practice settings that were poorly su-pervised

Be it Resolved that the FPA propose that the Florida Pharmacy Board pro-mulgate rules which safeguard the public by having a Responsible par-ty (Pharmacy Manager of Record) on

premises 24 hrs per given week

Contact Broward County Pharmacist AssocDaniel P sweet RPhPast President Board Member954-232-8202

Intent To protect the public from non-pharmacist owners to influence the practice of pharmacy by placing a phar-

20 | f L O r i d a p h a r m a C y T O d a y

macist on record without reviewing the day to day operations of Pharmacy Practice and its Rules and statues

Resolution not Adopted

Respectfully submitted

Broward County Pharmacist Associa-tion

RESOLUTION 2

Repeal 40 hr Rule for Community Pharmacy PermitBroward County Pharmacist Associa-tion

Whereas the Practice of Pharmacy is evolving to an Information Profession where pharmacists will be reviewing medication therapy

Whereas in populated areas there are multiple pharmacies in a compact radi-us

Be it Resolved that the Florida Board of Pharmacy act in repealing the 40 hr rule for Community Pharmacy Permit withstanding that there is a pharmacy within 5 miles with extended hours or a 24 hr pharmacy within 2 miles

Contact Daniel P sweet RPhPast President Board Member Broward County Pharmacist Assoc954-232-8202

Intent With Pharmacy Practice evolv-ing with more Pharmacists are going to use there education to create office type practice The Pharmacist will need to be off-site to review medications and council patients on the use of their medication

Respectfully submittedBroward County Pharmacist Associa-tion

Motion to amendAmendment passedspeaker unable to determine the posi-

tion of the House on voice votestanding vote called for by the House speakerResolution adopted on standing vote

RESOLUTION 3

Physician Dispensing ndash Limiting Scope as Pertains to Controlled Sub-stancesBroward County Pharmacists Associa-tion

Whereas a significant problem regard-ing the misuse of controlled substances in our state has been identified and

Whereas the checks and balances that the pharmacist brings to the equation of reducing the potential for misuse of controlled substances due to conflicts of interest is circumvented in the phy-sician dispensing model

Be it Resolved that the FPA seek legis-lative changes to limit the in-office dis-pensing of controlled substances up to and not more than a three (3) day sup-ply Contact Broward County Pharmacists AssociationDaniel P sweet RPhPast President Board Member954-232-8202

Motion to amend the phrase ldquowork with the respective BoardsrdquoAmendment is adoptedMotion to amend by adding the words ldquouprdquo and the words ldquoand not more thanrdquo to the first sentenceMotion to amend passesMotion to amend by striking the last sentence of the resolveMotion to amend passesResolution Adopted

Intent With the advent of Pain Man-agement Clinics with Dispensaries Pa-tient safety and control is lost by not having a Pharmacist oversee the pa-tientsrsquo therapeutic management with-in the guidelines of the FDA and Con-trolled substance Abuse Act

RESOLUTION 4

Pharmacy Service TaxBroward County Pharmacists Associa-tion

Whereas Pharmacy has assumed the burden of absorbing the costs associat-ed with receiving and sending data to all sources

Whereas these costs continue to grow and are not associated with the cost of the product or filling fee received then

Be it Resolved that the FPA work with the proper legislative process for the state to create a TAX for prescriptions to cover all communication costs inher-ent in Rx processing for e-prescribing communications to PBMrsquos and data re-porting costs for handling in-state re-porting of Controlled substances

Be it Further Resolved that the col-lected tax be used only for Pharmacy Claims Administrative Costs in han-dling the claims and bear no economic andor administrative burdens on the pharmacy

Resolution not Adopted

Contact Broward County Pharmacists AssociationDaniel P sweet RPhPast President Board Member954-232-8202

Intent With greater dependency on data network and associated costs to all pharmacies we have been placed in a pinch With the state controlling the process we gain on many fronts First no back-end costs on any Rx claim next the state can legally charge PBMrsquos un-der contract and will be responsible for collecting the tax and lastly the state can use their collective bargain-ing power to reduce the costs associat-ed with data transmission

Respectfully submitted

Broward County Pharmacists Associa-tion

O C T O B e r 2 0 0 9 | 21

RESOLUTION 5

RPh Not a Degree Designationleon County Pharmacy Association

WHEREAS pharmacists with a PharmD degree very proudly and rightfully use their degree designation of PharmD with their name and

WHEREAS pharmacists with a BsP degree generally use RPh with their name and

WHEREAS the designation of RPh for Registered Pharmacist is not a degree designation and was enacted into the original Florida Pharmacy Practice Act of 1889 The current practice act defines a pharmacist as a licensed Pharmacist lPh

THEREFORE the leon County Phar-macy Association moves that the FPA promote the use of the BPharm desig-nation for the BsP degree in place of the RPh designation which no longer is ref-erenced in the Florida Pharmacy Prac-tice Act

Motion to amendMotion to amend failsResolution Adopted

Contact persons Michael A Jackson- (850) 222- 2400Jim Powers- (850) 422- 0079

Background The resolution pretty well speaks for itself however it should be noted that in most national pharmacy publications pharmacists with a BsP degree are using the BPharm designa-tion behind their names In research-ing Dr Gene Gramlingrsquos book ldquoA His-tory of Pharmacy in Floridardquo it has the Florida Pharmacy Practice Act of 1889 which reads as follows section 4 Be it further enacted that the Board of Phar-macy shall register in a suitable book the names and places of residence of all persons to whom they issue certifi-cates and dates thereof It shall be the duty of said Board of Pharmacy to reg-ister without examination as registered pharmacists all pharmacists and drug-gists who are engaged in business in

the state of Florida at the passage of this act as owners or principals of stores or pharmacies In any village town or city of more than 200 inhabitants helliprdquo

RESOLUTION 6

Long Term Care regulatory frame-workFlorida Chapter of American society of Consultant Pharmacist

Whereas the Florida regulatory frame-work for long-term care pharmacy should be reviewed periodically to en-sure that it is consistent with current practice the FPA legislative commit-tee resolves to coordinate with the Flor-ida Chapter of the American society of Consultant Pharmacists to review the current regulatory framework for long-Term Care pharmacy in Florida

Resolved that the FPA legislative Committee coordinate with the Flori-da Chapter of the American society of Consultant Pharmacists to review the current regulatory framework for long-Term Care Pharmacy in Florida

Resolve substituted by the sponsor and accepted by the House substitute Resolution Adopted

Contact name and Phone stephen J Grabowski (727) 945-0760

Problem As the number of our nationrsquos seniors has grown so to have the de-mands and challenges placed upon the pharmacists serving those seniors who live in long-term care facilities since the practice of pharmacy has evolved over the years with increased workload demands changing roles of pharmacy technicians and new technologies so too have the regulatory guidelines and oversight responsibilities of the state boards

Intent not only will the practice of pharmacy need to adapt to the needs of seniors in long-term care facilities but state board of pharmacies and phar-macists under their preview must un-

derstand the impact of these changes Pharmacists practicing in long-term care must collaborate with state boards of pharmacy to update practice acts to ensure the protection of the health safety and welfare of the public

RESOLUTION 7

Evaluation of the ldquoPedigree Docu-mentation Programrdquo as stated in Flor-ida Statue 499Alachua County Association of Phar-macists

Whereas Florida statue 499 states that its purpose is to safeguard the public health and promote the public welfare by protecting the public from injury by product use and by merchandising de-ceit involving drugs devices and cos-metics

Whereas Pharmacies Pharmacists Pharmacy Wholesalers Pharmaceuti-cal Manufacturers and Pharmacy Re-packagers are all an integral part of this program

Whereas there is financial costs associ-ated with this program

Whereas there are penalties associated with this program

RESOLVED - The FPA request the Agency for Health Care Administra-tion to evaluate the ldquoPedigree Docu-mentation Programrdquo (49901212) to de-termine effectiveness and identification of improvements in the program for the protection of the public safety

Problem - The state of Florida enact-ed the ldquoPedigree Documentation Pro-gramrdquo (49901212) to keep adulterated and misbranded pharmaceuticals from consumers

Intent - To determine the effectiveness of the ldquoPedigree Documentation Pro-gramrdquo in achieving its purpose

Resolution Adopted

22 | f L O r i d a p h a r m a C y T O d a y

sion forward Please join us in Talla-hassee next March

FPA Legislative Key Contact Network

The FPA legislative Committee would like to match up at least one pharmacist with every key legisla-tor in the state If you currently have a relationship with one of your state legislators or if you are willing to take the steps listed above to be one of our grassroots advocates we want to know sign up to be a member of our Key legislative Contacts If you can help please let us know by con-tacting any member of the legisla-tive Committee listed below or you may contact me directly at klwizcomcastnet

lastly your legislative Commit-tee deserves a BIG ldquoThank Yourdquo for their time and effort These mem-bers have stepped up to help our profession grow and prosper Fol-lowing is a list of the members of the 2009-2010 FPA legislative Commit-teeDavid AndrewsDon BergemannGary DalinMitchell FingerhutAmy FerrolRamy GabrielMark HobbsMichael JacksonHumberto MartinezMark PercifieldManny PrieguezAlexander PytlarzTeysha RichardsonWilliam RiffeeTheresa Tollenorman TomakaAmanda Waltemathlori WeemsKaren WhalenRobert WilburChristine Yocum

Ken Wisniewski2009-2010 legislative Committee Chair

Viewpoint continued from page 5Respectfully submitted

Alachua County Association of Phar-macists

RESOLUTION 8

Continuous quality Improvement Program-Program EvaluationAlachua County Association of Phar-macists

Whereas the CQI Program is a system of standards and procedures to identify and evaluate quality-related events and improve patient care

Whereas some of the main goals of FPA and the Board of Pharmacy is to improve patient care and safety

Whereas an evaluation of the CQI Pro-gram may identify improvements that could be incorporated into the pro-gram

Whereas information about patient safety practices obtained from the pro-gram evaluation would be helpful if shared with the pharmacists of Florida and the nation

Resolved that the FPA request the Flor-ida Board of Pharmacy to conduct a Program evaluation of the Continuous Quality Improvement Program (64B16-27300)

Problem- since the enactment of 64B16-27300 Continuous Quality Improve-ment (CQI) Program there has not been a program evaluation

Intent- The evaluation of the CQI Pro-gram for effectiveness

Respectfully submittedAlachua County Association of Phar-macists

Resolution Adopted

JOIN TODAY

Florida Pharmacy Association

O C T O B e r 2 0 0 9 | 23

RESOLUTION 1Pharmacy Manager in Charge Man-date rule changes for the State require to be on-site 24 hr perweekBroward County Pharmacist Associa-tion Whereas There is no statutory or rule requirement for a Manager in Charge to be present in the PharmacyWhereas over the last few years in-ternet practices and non-pharmacist owned pharmacies have flourished in practice settings that were poorly su-pervisedBe it Resolved that the FPA propose that the Florida Pharmacy Board pro-mulgate rules which safeguard the public by having a Responsible par-ty (Pharmacy Manager of Record) on premises 24 hrs per given weekContact Broward County Pharmacist AssocDaniel P sweet RPhPast President Board Member954-232-8202Intent To protect the public from non-pharmacist owners to influence the practice of pharmacy by placing a phar-macist on record without reviewing the day to day operations of Pharmacy Practice and its Rules and statuesResolution Not AdoptedRespectfully SubmittedBroward County Pharmacist Associa-tion

RESOLUTION 2

Repeal 40 hr Rule for Community Pharmacy PermitBroward County Pharmacist Associa-tion Whereas the Practice of Pharmacy is evolving to an Information Profession where pharmacists will be reviewing medication therapyWhereas in populated areas there are multiple pharmacies in a compact radi-usBe it Resolved that the Florida Board of Pharmacy act in repealing the 40 hr rule for Community Pharmacy Permit withstanding that there is a pharmacy within 5 miles with extended hours or a 24 hr pharmacy within 2 milesContact

Daniel P sweet RPhPast President Board Member Broward County Pharmacist Assoc954-232-8202 Intent With Pharmacy Practice evolv-ing with more Pharmacists are going to use there education to create office type practice The Pharmacist will need to be off-site to review medications and council patients on the use of their medicationRespectfully SubmittedBroward County Pharmacist Associa-tion Motion to amendAmendment passedSpeaker unable to determine the posi-tion of the House on voice voteStanding vote called for by the House SpeakerResolution adopted on standing vote

RESOLUTION 3

Physician Dispensing ndash Limiting Scope as Pertains to Controlled Sub-stancesBroward County Pharmacists Associa-tionWhereas a significant problem regard-ing the misuse of controlled substances in our state has been identified andWhereas the checks and balances that the pharmacist brings to the equation of reducing the potential for misuse of controlled substances due to conflicts of interest is circumvented in the phy-sician dispensing model Be it Resolved that the FPA seek legis-lative changes to limit the in-office dis-pensing of controlled substances up to and not more than a three (3) day sup-ply Contact Broward County Pharmacists Associa-tionDaniel P sweet RPhPast President Board Member954-232-8202Motion to amend the phrase ldquowork with the respective BoardsrdquoAmendment is adoptedMotion to amend by adding the words ldquouprdquo and the words ldquoand not more thanrdquo to the first sentenceMotion to amend passes

Motion to amend by striking the last sentence of the resolveMotion to amend passesResolution AdoptedIntent With the advent of Pain Man-agement Clinics with Dispensaries Pa-tient safety and control is lost by not having a Pharmacist oversee the pa-tientsrsquo therapeutic management with-in the guidelines of the FDA and Con-trolled substance Abuse Act

RESOLUTION 4

Pharmacy Service TaxBroward County Pharmacists Associa-tionWhereas Pharmacy has assumed the burden of absorbing the costs associat-ed with receiving and sending data to all sourcesWhereas these costs continue to grow and are not associated with the cost of the product or filling fee received thenBe it Resolved that the FPA work with the proper legislative process for the state to create a TAX for prescriptions to cover all communication costs inher-ent in Rx processing for e-prescribing communications to PBMrsquos and data re-porting costs for handling in-state re-porting of Controlled substancesBe it Further Resolved that the col-lected tax be used only for Pharmacy Claims Administrative Costs in han-dling the claims and bear no economic andor administrative burdens on the pharmacyResolution Not AdoptedContact Broward County Pharmacists Associa-tionDaniel P sweet RPhPast President Board Member954-232-8202Intent With greater dependency on data network and associated costs to all pharmacies we have been placed in a pinch With the state controlling the process we gain on many fronts First no back-end costs on any Rx claim next the state can legally charge PBMrsquos un-der contract and will be responsible for collecting the tax and lastly the state can use their collective bargain-ing power to reduce the costs associat-

EmailFax Network HotlineReceive up-to-date and up-to-the-min-ute information on legislative Develop-ments Board of Pharmacy changes and other topics affecting the profession of pharmacy Call FPA Member services at (850) 222-2400 ext 110 ndash rsimmonspharmviewcom

Tax ResourceProvides defense and protection of your assets when you are audited Tax Resource will defend their clients for any income tax audit Federal or state for any tax year Tax Resource pio-neered the tax audit service business and is the largest audit defense firm in the United states Call (800) 92-AUDIT (800-922-8348)

Atlantic Coupon Redemption Center Receive payment in 25 working days of couponrsquos face value plus a rebate of 16 cents based on store volume Call Meredith McCord (800) 223-0398

Florida Commerce Federal Credit Union The chief objective of a credit union is not generating profits for stockholders but to provide service to its member The members benefit by getting attrac-tive returns on savings loans made at fair rates of interest plus enhanced and expanded services This is probably one of the best deals around Call (850) 488-0035

Collection Services For past due accounts call I C system Inc Call (800) 328-9595

Other Member Benefits n Discounted Continuing education

Programsn Monthly Issues of the Florida Phar-

macy Today Journal

ITC Deltacom offering FPA members exclusive associa-tion discounts on telecommunication ser-vices including local services long dis-tance data networks telephone systems and dedicated internet access Call 850-701-3200 or visit wwwitcdeltacomcom

Pharmacy Resource Materials FPA provides the most recent and rele-vant resources necessary to meet your professional needs This includes the Continuous Quality Improvement Manu-al Controlled substance Inventory Book-lets and Pharmacy signs Please call FPA Members services for more information 850-222-2400 ext 110

FPA Website Visit our FPA Website at wwpharmviewcom The site launched in December 2004 and revised in october 2008 includes a members only section The website of-fers a secure server so that you can reg-isters for Ce programs renew your mem-bership or purchase resources materials with your credit card

in keeping with a tradition of offering our members real benefits the Florida Pharmacy association (FPa) is proud to announce the introduction of sponsored discount Benefits Program these vendors are dedicated to providing an excellent value to all FPa members and associates to take advantage of benefits contact the vendors directly at the numbers listed below and identify yourself as a FPa member and have your membership id number handy

MEMBERSHIP MATTERS

Florida Pharmacy Association

24 | f L O r i d a p h a r m a C y T O d a y

Wyeth Bowl of Hygeia

Awarded to a pharmacist for out-standing community service above and beyond professional duties The use of the following selection criteria is re-quired

The recipient must be a Florida li- n

censed pharmacist and a member of FPAThe recipient must be living Awards n

are not presented posthumouslyThe recipient has not previously re- n

ceived the awardThe recipient is not currently serving n

nor has heshe served within the immediate past 2 years on its award committee or an officer of the asso-ciation in other than an ex officio ca-pacityThe recipient has compiled an out- n

standing record of community ser-vice which apart from hisher spe-cific identification as a pharmacist reflects well on the profession

James H Beal Award

Awarded to the Pharmacist of the Year The criteria established for this award is that the recipient be a Flori-da registered pharmacist and a mem-ber of FPA who has rendered outstand-ing service to pharmacy within the past five yearsCriteria

The recipient must be a Florida reg- n

istered pharmacist and a member of the FPAThe recipient has rendered outstand- n

ing service to pharmacy within the past five years

Technician of the Year AwardAwarded annually to a Florida

pharmacy technician who is recog-nized for hisher outstanding perfor-mance and achievement during hisher career

Criteria

Candidate must be a member of n

the Florida Pharmacy Association for at least 2 yearsCandidate must have demonstrat- n

ed contributions and dedication to the advancement of pharmacy technician practiceCandidate must have demonstrat- n

ed contributions to the Florida Pharmacy Association andor oth-er pharmacy organizationsCandidate must have demonstrat- n

ed commitment to community ser-viceCandidate is not a past recipient of n

this award

RQ Richards Award

This award is based on outstanding achievement in the field of pharmaceu-tical public relations in FloridaCriteria

The recipient must be a Florida reg- n

istered pharmacist and a member of the FPAThe recipient has displayed out- n

standing achievement in the field of pharmaceutical public relations in Florida

Frank TobackAZO Consultant

Pharmacist Award

CriteriaCandidate must be an FPA member n

registered with the Florida Board of Pharmacy as a consultant pharma-cist in good standingCandidate should be selected based n

on their outstanding achievements in the field of consultant pharmacy

DCPA Sidney Simkowitz

Pharmacy Involvement Award

Presented annually to a Florida pharmacist who has been active at the local and state pharmacy association level in advancement of the profes-sion of pharmacy in Florida

CriteriaA minimum of five years of active n

involvement in and contributions to the local association and FPACandidate must have held office at n

local level pharmacy associationMember in good standing for a pe- n

riod of at least five years in the FPA and must have served as a member or chairman of a committee of the associationCandidate must have been active- n

ly involved in a project that has or could potentially be of benefit to members of the profession

Pharmacists Mutual Companies

Distinguished Young Pharmacist

Award

Awarded to a young pharmacist for their involvement and dedication to the practice of pharmacyCriteria

licensed to practice for nine (9) years n

or lesslicensed to practice in the state in n

which selectedParticipation in national pharmacy n

association professional programs andor community service

IPA Roman Maximo Corrons

Inspiration amp Motivation Award

Interamerican Pharmacists Association created this award to honor the memo-ry of Roman M Corrons who inspired and motivated countless pharmacists to participate actively and aspire to take on leadership roles in their profession Roman was always there with guidance and support that motivated pharma-cists and encouraged visionary leader-ship approachable active membership and succession planning This award recognizes the motivators among us who inspire others to continue to ad-vance the professionCriteria

C a L L f O r N O m i N a T i O N s F P A A W A R D S 2 0 0 9 - 2 0 1 0

O C T O B e r 2 0 0 9 | 25

DEADLINE FOR NOMINATIONS FEBRUARY 28 2010

The recipient must be a Florida li- n

censed Pharmacist and a member of the FPACandidate should motivate others n

to excel within the profession by en-couraging them to be leadersCandidate is not necessarily an as- n

sociation officer but guides sup-ports andor inspires others

A brief description on the candidatersquos motivationalinspirational skills must accompany the nomination

The Jean Lamberti

Mentorship Award

The Jean lamberti Mentorship Award was established in 1998 to hon-or those pharmacists who have taken time to share their knowledge and ex-

perience with pharmacist candidates The award is named in honor of long time FPA member Jean lamberti for her effort in working with pharmacy studentsCriteria

The recipient must be an FPA mem- n

berThe recipient must serve as a role n

model for the profession of pharmacy

Innovative Pharmacy Practice

Award

Awarded to honor practicing phar-macists who have demonstrated inno-vation in pharmacy practice that has resulted in improved patient careCriteria

The recipient has demonstrated inno- n

vative pharmacy practice resulting in improved patient careThe recipient should be a practic- n

ing pharmacist within the geograph-ic area represented by the presenting Association

Qualified nominee A pharmacist prac-ticing within the geographic area repre-sented by the presenting Association

I AM PLEASED TO SUBMIT THE FOLLOWING NOMINATION

Name

Address

FOR THE FOLLOWING AWARD

(Nomination Deadline February 28 2009)

Wyeth Bowl of Hygeia Award

James H Beal Award

RQ Richards Award

Frank TobackAZO Consultant Pharmacist Award

DCPA Sydney Simkowitz Award

Pharmacists Mutual Co Distinguished Young Pharmacist Award

Academy of Pharmacy Practice Practitioner Merit Award

The Jean Lamberti Mentorship Award

IPA Roman Maximo Corrons Inspiration amp Motivation Award

Innovative Pharmacy Practice Award

Technician of the Year Award

NOMINATED BY

Name

Date Submitted

Signature

Please describe briefly below the nominees accomplishments indicating why you feel he or she should receive this award (Attach additional sheets if necessary)

C a L L f O r N O m i N a T i O N s F P A A W A R D S 2 0 0 9 - 2 0 1 0

F P A A W A R D S N O M I N A T I O N F O R M

mail nominatons to annual awards Florida Pharmacy association 610 n adams st tallahassee Fl 32301(850) 222-2400 FaX (850) 561-6758 dEadlinE For nominations is FEBrUary 28 2010

26 | f L O r i d a p h a r m a C y T O d a y

CALL FOR RESOLUTIONS TO THE 2010 HOUSE OF DELEGATES

The House of Delegates Board of Directors will meet in March 2010 to review and approve resolu-tions for the Annual Meeting The deadline for submitting resolutions is March 15 2010 PleAse noTe THIs DeADlIne

The following information will be needed when submitting resolutions

1 name of organization The name of the organization submitting the resolutions(s)2 name and telephone number of individuals A contact in the event clarification or further in-

formation is needed 3 Problem A statement of the problem addressed by the resolution4 Intent A statement of what passage of the resolution will accomplish5 Resolution Format (please type and use double spacing)

TiTle of ResoluTion

name of oRganizaTion

WheReas and

WheReas

TheRefoRe be iT

Resolved (ThaT The fPa oR subdivision of fPa)

ConTaCT name and Phone

PRoblem

inTenT

Page 5: October 2009 Florida Pharmacy Journal

O C T O B e r 2 0 0 9 | 5

Almost every day you hear more about health care reform And today is no exception It is crit-

ical that pro-pharmacy issues be in-cluded in health care reform There-fore in mid-september FPA executive Vice President and Ceo Michael Jack-son and APhA President (and former FPA President) ed Hamilton traveled to Washington DC to do strategic vis-its on Capitol Hill They worked togeth-er with pharmacists from other states to inform the legislators of the benefits of pharmacist-provided MTM services and to support MTM provisions in the current health care reform proposals

In addition to all the changes on the national health care horizon Florida is

also looking at many other legislative issues that could affect the practice of pharmacy in our own state The Flori-da Pharmacy Association will be keep-ing a close watch on these issues for you this year

In July the FPA legislative Commit-tee met to determine a priority list of is-sues that need to be addressed during the 2010 legislative session The list is provided below with the caveat that priorities andor items may change if unforeseen issues that affect pharmacy arise during the legislative session The list of legislative priorities for the Flor-ida Pharmacy Association for the com-ing year is as follows1 PBM legislation The committee

has recommended this as the no 1 priority This is a national issue that will be difficult to advance in the current Florida legislature We will work to develop language for a bill to be introduced

2 Medicaid Appropriations This is-sue is always on our agenda last year we were faced with multiple reductions but were able to mini-mize the financial impact on phar-macy Will Medicaid reductions once again be an issue in 2010 We believe it is necessary to be pre-pared

3 Anti-substitution of epilepsy and immunosuppressant drugs This topic continues to be an item of dis-cussion around the country A study group that will look at phar-macists interchanging these pre-scription drugs has yet to meet but there may be more to come regard-ing this issue

4 Adequate funding for state pharma-cy schools This item will be moni-

legislative Update 2009-2010Have You Heard

The Presidentrsquos ViewpointBY GUEST COLUMNIST KEN WISNIEWSKI 2009-2010 LEGISLATIvE COMMITTEE CHAIR

Ken Wisniewski2009-2010 Legislative Committee Chair

6 | f L O r i d a p h a r m a C y T O d a y

The Florida Pharmacy Association gratefully acknowledges the hard work and dedication of the following members of the FPA leadership who work deligently all year long on behalf of our members

Norman Tomaka Chairman of the Board of DirectorsKaren Whalen FPA PresidentDon Bergemann TreasurerAlexander Pytlarz Speaker of the House of DelegatesDean William Riffee Vice Speaker of the House of DelegatesAlexander Pytlarz Speaker Elect Preston McDonald Director Region 1Marcus Dodd-o Director Region 2Al Tower Director Region 3 Raul N Correa Interim Director Region 4 John Noriega Director Region 5 Chris Lent Director Region 6Kim Murray Director Region 7Joy Marcus DirectorRegion 8Ayala Fishel Director Region 9Peter Iafrate President FSHPMichael Jackson Executive Vice President and CEO

Florida Pharmacy Today Journal Board

Chair Designate Betty Harris beejpharmgmailcomTreasurer Stephen Grabowski sgrabowskiseniormmccomSecretary Stuart Ulrich StuarxaolcomMember Joseph Koptowsky docjik1215aolcomMember Jennifer Pytlarz jlc_rxdochotmailcomExecutive Editor Michael Jackson mjacksonpharmviewcomManaging Editor Dave Fiore davefiorecommunicationscom

20092010 FPA Board of Directors tored When requested by the uni-versities we will support them on this issue

Seeking Grassroots AdvocatesWho makes the decisions that will

affect our profession Yes the legisla-tors would be one answer but the best answer is YoU

Have you heard that if you do not stand up and speak for pharmacy that you are leaving the decisions to our leg-islators Do you know your state legis-lators Have you spoken to yours It is important that they know who you are and what you stand for successful leg-islative efforts require a lot of work spe-cifically networking We are asking all pharmacists to join those already work-ing on your behalf

Getting Started1 send an email and then call your

state legislator to introduce yourself and show your passion for pharma-cy

2 set an appointment to meet your legislator face-to-face in their home office before December

3 Know the key pharmacy issues so we can present a unified voice

4 Join us and meet your legislator in Tallahassee next March during Flor-ida Pharmacist legislative Days

If you donrsquot know who your rep-resentative is find out by going to the FPA Web site (wwwpharmviewcom) and click on the Advocacy tab to find the link to ldquoWho Are My Florida state legislatorsrdquo

our grassroots effort is how you can make a difference If not you then who is going to educate our represen-tatives If you currently provide a leg-islator or their family with pharmacy services you are in a unique position to foster good will and educate them about what pharmacists can do lever-age what you know by talking to them about their drug therapy and present-ing MTM as a meaningful way to help control health care costs You have a powerful story to tell We hope you will take action and help move the profes-

See Viewpoint continued on page 22

O C T O B e r 2 0 0 9 | 7

Executive InsightBY MICHAEL JACKSON RPH

What is the Value of Professional organizations

These days we are all going to have to watch our spending hab-its and scrutinize which bills get

paid which bills get delayed and which bills we leave in decay While the nation and our state struggle to right them-selves during these challenging eco-nomic times it is no wonder that par-ticipation in membership organizations rise to the top of the scrutiny list

our personal budgets become a list of needs with the number of wants de-clining dramatically Food and shelter are essential expenditures that are not included in the disposable income bud-gets This is followed by transportation communication health care insurance education and training Disposable in-come generally has been used for such things as entertainment vacation gifts and charitable contributions It is with-in this part of our personal budgets that we allocate funds to support our pro-fessional associations and societies

Why sign up for membership in an organization While we each may have our own reasons some of the more ob-vious direct benefits include discounts on offered continuing-education pro-grams general assistance with regula-tory issues and discounts on services provided by the associationrsquos member benefits partners such as car rentals hotel stays and telecommunication ser-vices There also are benefits such as competitive rates on workers compen-sation insurance complimentary access to FPArsquos web based law and regulato-ry information resource and discounts on our controlled substance inventory booklet There also are benefits from re-ceiving breaking information on regu-latory and legislative changes to critical pharmacy rules and laws from news-

letters and the Associationrsquos monthly journal

The FPA has a member retention program called the 1 Club This orga-nization within the FPA is designed for members who believe so much in the Florida Pharmacy Associationrsquos mis-

sion and vision that they are willing to reach out to others to encourage their joining our organization There is a di-rect benefit here in that those members who actively recruit 10 regular mem-bers into the FPA receive a complimen-tary registration at the annual meeting a sporty red blazer and a plaque with recognition for their commitment In addition complimentary registration is awarded for the continued participation each year as an active 1 Club member through the recruitment of three new regular members during each conven-tion year

This is all great information how-ever there are other reasons to support your professional organizations that may not necessarily fall into direct ben-efit categories over the years the ca-reers of pharmacists have blossomed into areas that produced significant personal financial growth Part of this has been through the demand for phar-macist dispensing services the build-ing of many venues requiring licensed pharmacists and the development and advertising of new prescription drugs

This demand for pharmacists though moderating in recent years has created a number of new career options for currently practicing pharmacists as well as for new pharmacy candidates enrolled in our five colleges and uni-versities here in Florida We hope that our members are aware that this pro-fession was advocated for by the Flor-ida Pharmacy Association through the creation of the Board of Pharmacy The purpose was to ensure that only those who qualify should be allowed to prac-tice this profession The intent was also

[The 1 Club] within the FPA is designed for members who believe

so much in the Florida Pharmacy Associationrsquos

mission and vision that they are willing to reach out to others to

encourage their joining our organization

BY MICHAEL JACKSON FPA ExECUTIvE vICE PRESIDENTCEO

Michael Jackson BPharm

8 | f L O r i d a p h a r m a C y T O d a y

Executive Vice PresidentCEOMichael Jackson

(850) 222-2400 ext 200Director of Continuing Education

Tian Merren-Owens ext 120Controller

Wanda Hall ext 211Membership CoordinatorRanada Simmons ext 110

Educational Services Office AssistantStacey Brooks ext 210

FLORIDA PHARMACY TODAY BOARDChair Designate Betty Harris Lighthouse Point Treasurer Stephen Grabowski TampaSecretary Stuart Ulrich Boynton BeachMember Joseph Koptowsky MiamiMember Jennifer Pytlarz BrandonExecutive Editor Michael Jackson TallahasseeManaging Editor Dave Fiore Tallahassee

This is a peer reviewed publication copy2009 FLORIDA PHARMACY JOURNAL INCARTICLE ACCEPTANCE The Florida Phar-macy Today is a publication that welcomes articles that have a direct pertinence to the current practice of pharmacy All articles are subject to review by the Publication Review Committee editors and other outside referees Submitted articles are received with the understanding that they are not being considered by another publication All articles become the property of the Florida Pharmacy Today and may not be published without written permission from both the author and the Florida Pharmacy Today The Florida Pharmacy Association assumes no responsibility for the statements and opinions made by the authors to the Florida Pharmacy Today

The Journal of the Florida Pharmacy Association does not accept for publication articles or letters concerning religion politics or any other subject the editorspublishers deem unsuitable for the readership of this journal In addition The Journal does not accept advertising material from persons who are running for office in the association The editors reserve the right to edit all materials submitted for publication Letters and materials submitted for consideration for publication may be subject to review by the Editorial Review Board

FLORIDA PHARMACY TODAY Annual sub-scription - United States and foreign Indi-vidual $36 Institution $70year $500 single copies Florida residents add 7 sales tax

Florida Pharmacy association

610 N Adams St bull Tallahassee FL 32301850222-2400 bull FAX 850561-6758

Web Address httpwwwpharmviewcom

FPA STAFF

Over half of your dues go into the funding of our advocacy program

to advocate for consumer confidence in the services that we provide and that our profession has individuals with the skills and knowledge to resolve pa-tient medication issues without causing harm

Keep in mind that other benefits in-clude the vast networking opportu-nities to gain knowledge from others within our organization who have de-veloped innovative practices or who have resolved a health care service re-

lated issue While we can learn much from what is published in the phar-macy press there is a wealth of knowl-edge from peer dialog at conferences and leadership meetings

organizations also share informa-tion of interest and value with their members The value of information in todayrsquos competitive world is truly un-derestimated I know of pharmacists who received lucrative promotions from their employer simply because they had information provided to them by their organizations or that no one else had It is no secret that many orga-nizations such as the FPA have active members who have the ability to make decisions whether a pharmacist candi-date has the necessary skills training and commitment to their profession in todayrsquos competitive hiring market

Having been a former district man-ager with responsibility over 58 pre-scription departments in three states I can tell you from experience that I looked carefully at applicants who could demonstrate to me their involve-ment in their growth and development beyond standard classroom internship training and work experience Those who were actively involved in their professional organizations and had the experience of networking and com-municating with consumers and oth-er health care practitioners with ease

generally were at a competitive advan-tage over a pharmacist candidate who could only produce a great transcript and time behind the workbench

Finally simply reporting legislative or regulatory changes to the practice act are not the sole task of professional organizations They also invest a con-siderable amount of resources into ad-vocating for change or revisions to the laws and rules that affect how you pro-vide services to patients as well as de-

fending against policy making that creates professional barriers In many cases the practice evolves beyond state and federal regulations Your profes-sional organizations work to facilitate the change necessary to make sure that the laws are sensible and relevant in to-dayrsquos modern pharmacy practice envi-ronment Then we must be a resource to you to help integrate these changes so that you do not fall out of compli-ance

A portion of our membership will be receiving renewal notices for the January billing cycle We hope that you have found some of the information in this article beneficial and encour-aging enough to invest in your pro-fession over half of your dues go into the funding of our advocacy program The dues paid by our regular members are barely equal to the cost associat-ed with drinking two bottled waters a week We hope that the information in this article encourages you to continue your support for our profession and al-low your dues to be an essential expen-diture Please consider it an investment in your future n

O C T O B e r 2 0 0 9 | 9

The concrete bricks are 4x8 and can be engraved with up to 14 characters per line three lines available spaces and punctuation count as one character Please fi nd enclosed my check for $_________ for _________ bricks

PLEASE PRINT Please charge my Master Card Visa

CARD EXP DATE

AUTHORIZED SIGNATURE

NAME

ADDRESS

CITY STATE ZIP

PHONE (W) (H)

O R D E R F O R M

Send to Florida Pharmacy Foundation 610 N Adams St Tallahassee FL 32301or fax to (850) 561-6758

Contributions to the Florida Pharmacy Foundation are tax deductible as a charitable contribution for federal income tax purposes Consult your CPA for complete details Fed Emp ID 59-2190074

A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE 1-800-435-7352 WITHIN THE STATE REGISTRATION DOES NOT IMPLY ENDORSEMENT APPROVAL OR RECOMMENDATION BY THE STATE

The Walkway of Recognition

YES I want to order _______ concrete bricks at $25000 each (Please copy form for additional inscriptions)

Have you been searching for just the right gift or thought of placing your name in perpetuity If so then consider purchasing an engraved brick for you or someone else

The main sidewalk at the Florida Pharmacy Association needs replacing The Florida Pharmacy Foundation has undertaken the project to repair and beautify the sidewalk with engraved personal bricks purchased by pharmacists or friends of pharmacy

Engraved 4x8 bricks can be purchased for $25000 each with the donorrsquos name engraved (3 lines available) or you could also purchase an engraved brick for someone you feel should be honored or remembered

The monies earned from this project will be used to fulfi ll the goals and future of the Foundation There are a limited number of bricks available ndash so it is fi rst come fi rst served

PLEASE PRINT INSCRIPTION

THE WALKWAY OF RECOGNITION

YOUR NAME HERE

FPA OFFICE

FoundationAdBrickesindd 1 122308 94448 PM

10 | f L O r i d a p h a r m a C y T O d a y

Visits to doctor n s for influenza-like illness (IlI) continued to increase in the United states and overall are higher than levels expected for this time of the year Total influenza n hospitalization rates for laboratory-con-firmed influenza are higher than expected for this time of year for adults and children And for children 5-17 and adults 18-49 years of age hospitalization rates from April ndash october 2009 exceed average flu season rates (for octo-ber through April) The proportion of n deaths attributed to pneumonia and in-fluenza (PampI) based on the 122 Cities Report has increased and now exceeds what is normally expected at this time of year In addition 19 flu-related pediatric deaths were reported this week 16 of these deaths were confirmed 2009 H1n1 and 3 were unsubtyped influenza A and like-ly to be 2009 H1n1 A total of 76 laboratory confirmed 2009 H1n1 pediatric deaths have been reported to CDC since April Thirty-seven states are reporting n widespread influen-za activity at this time They are Alabama Alaska Ari-zona Arkansas California Colorado Delaware Florida Georgia Idaho Illinois Indiana Iowa Kansas Kentucky louisiana Maryland Minnesota Mississippi Missouri nebraska nevada new Hampshire new Mexico new York north Carolina ohio oklahoma oregon Penn-sylvania south Carolina south Dakota Texas Tennes-see Virginia Washington and Wyoming Any reports of widespread influenza activity in september and october are very unusual Almost all of the influenza n viruses identified so far are 2009 H1n1 influenza A viruses These viruses remain similar to the virus chosen for the 2009 H1n1 vaccine and remain susceptible to the antiviral drugs oseltamivir and zanamivir with rare exception CDC Guidance for Businesses and Employers To Plan and Respond to the

2009ndash2010 Influenza Season

IntroductionThe Us Department of Health and Human servicesrsquo

(HHs) Centers for Disease Control and Prevention (CDC) with input from the Us Department of Homeland security (DHs) has developed updated guidance for employers of all sizes to use as they develop or review and update plans to re-

spond to 2009 H1n1 influenza now and during the upcom-ing fall and winter influenza season Businesses and employ-ers in general play a key role in protecting employeesrsquo health and safety as well as in limiting the negative impact of in-fluenza outbreaks on the individual the community and the nationrsquos economy employers who have developed pandemic plans should review and revise their plans in light of the cur-rent 2009 H1n1 influenza outbreak to take into account the extent and severity of disease in their community as outlined in this guidance2

Planning for Fall and Winter Influenza SeasonBusinesses may have already been impacted by the spring

and summer outbreaks of 2009 H1n1 influenza affecting their employees CDC anticipates that more communities may be affected than were in the springsummer 2009 andor more severely affected reflecting wider transmission and possibly greater impact In addition seasonal influenza viruses may cause illness at the same time as 2009 H1n1 this fall and win-ter In response to the anticipated spread of 2009 H1n1 in-fluenza the CDC has revised its recommendations to assist businesses and other employers of all sizes

The severity of illness that 2009 H1n1 influenza flu will cause (including hospitalizations and deaths) or the amount of illness that may occur as a result of seasonal influenza dur-ing the 2009ndash2010 influenza season cannot be predicted with a high degree of certainty Therefore employers should plan to be able to respond in a flexible way to varying levels of severity and be prepared to refine their pandemic influenza response plans if a potentially more serious outbreak of in-fluenza evolves during the fall and winter More people and communities are likely to be affected as influenza is more widely transmitted The CDC and its partners will continu-ously monitor national and international data on the severity of illness caused by influenza will disseminate the results of these ongoing surveillance assessments and will make addi-tional recommendations as needed

Considerations of Appropriate Response Strategies

All employers must balance a variety of objectives when determining how best to decrease the spread of influenza and lower the impact of influenza in the workplace They should

2009 H1N1 Flu Situation UpdateKey Flu Indicatorseach week CDC analyzes information about influenza disease activity in the United states and publishes findings of key flu indicators in a report called FluView During the week of september 27 - october 3 2009 a review of the key indictors found that influenza activity increased in the United states Below is a summary of the most recent key indicators

O C T O B e r 2 0 0 9 | 11

CONTROL YOUR ASSIGNMENTSCONTROL YOUR CAREER

The Alternative To A Traditional Career In Pharmacy

Career nan occupation undertaken for a significant period of a personrsquos life usually with opportunities for progress

bull Guaranteed Hours bull Professional Pay amp Benefitsbull Special Clients Flexible Assignmentsbull A Variety Of Bonus Programsbull Professional Development OpportunitiesCross Training

Professional Well-Managed Fair

04480 HensleyRX ReliefFlorida Pharmacy Todaymdash14 pg ad (35rdquox475rdquo)

A PhArmAcist And A LAwyer

Board of Pharmacy Licensure Disciplinary ProceedingsDefense of Chapter 499 Pedigree Laws Violations

Mergers and AcquisitionsCommercial Civil and Criminal Proceedings

KAHAN SHIR PL

Pharmacist AttorneyBrian A Kahan RPh JD

Licensed Florida Pharmacist and Attorney

STATEWIDE REPRESENTATION

561-999-5999bkahankahanshircom

1800 NW Corporate Blvd Suite 200 Boca Raton FL 33431

The hiring of a lawyer is an important decision that should not be based solely upon advertisements Before you decide ask us to send you free written information about our qualifications and experience

consider and communicate their objectives which may in-clude one or more of the following (a) reducing transmis-sion among staff (b) protecting people who are at increased risk of influenza related complications from getting infected with influenza (c) maintaining business operations and (d) minimizing adverse effects on other entities in their supply chains

employers should expect to see a wide range of disease patterns across the country employers should base their strategies and response to influenza outbreaks on local infor-mation from local and state public health authorities some of the key indicators that should be used when making deci-sions on appropriate responses are

Disease severity (ie hospitalization and death rates) in n

the community where business is locatedextent of disease (number of people who are sick) in the n

communityAmount of worker absenteeism in your business or orga- n

nizationImpact of disease on workforce populations that are vul- n

nerable and at higher risk (eg pregnant women employ-ees with certain chronic medical conditions that put them at increased risk for complications of influenza) andother factors that may affect employeesrsquo ability to get to n

work such as school dismissals or closures due to high levels of illness in children or school dismissalsemployers need to plan now to be able to obtain updated

information on these indicators from state and local health departments in each community where they have a business presence and to respond quickly to the changing reality on the ground employers with more than one business location are encouraged to provide local managers with the authori-ty to take appropriate actions outlined in their business pan-demic plan based on the condition in each locality

Preparedness and Response Recommendations

PLANNING FOR 2009 H1N1 AND THE 2009ndash2010 INFLUENzA SEASON

This guidance is designed to help employers plan for and respond to two possible conditions 1) a continuation of the current level of severity of influenza as was observed during the spring and summer of 2009 and 2) a more severe outbreak The first situation is what is being experienced in some com-munities nowmdashan outbreak of similar severity of 2009 H1n1 to the spring However even if the severity of the virus does not change planners should expect that there will be more people who are ill in the fall and winter as 2009 H1n1 out-breaks coincide with the seasonal influenza season and this level of absenteeism may impact business operations A sec-ond situation involves an outbreak of greater severity includ-ing more people with severe illness and thus more people hospitalized for influenza complications more deaths from influenza and a probable escalation of absenteeism

12 | f L O r i d a p h a r m a C y T O d a y

copy 2009 Medical Staffi ng Network Inc | PS-9005D

The Right Jobbull Flexible Schedulesbull Top Compensationbull Great Benefi tsbull Local or Travel

Assignments

The Right Candidatebull Fully Credentialedbull Maximize Patient

Customer Carebull Improved Employee

Satisfaction

8002239230 pharmacymsnhealthcom | pharmstaff com

Per Diem | Temporary | Permanent

YOUrsquoVE FOUND IT

The Right Job The Right CandidatePharmstaff pieces it all together

Work with the Best

247 Support

Businesses should have an understanding of their normal seasonal absenteeism rates and know how to monitor their personnel for any unusual increases in absenteeism through the fall and winter Business continuity planners should as-sess their essential business functions now to determine at what threshold of absenteeism those functions would be threatened if absenteeism escalates Planners can then pre-pare to take more aggressive measures to protect continuity as absenteeism escalates towards those thresholds

even employers in communities that have not yet felt ef-fects from 2009 H1n1 influenza should plan for an influen-za outbreak this fall and winter and be ready to implement strategies to protect their workforce while ensuring continuity of operations During an influenza pandemic all sick people should stay home and away from the workplace hand wash-ing and covering coughs and sneezes should be encouraged and routine cleaning of commonly touched surfaces should be performed regularly If the severity of illness increases employers should be ready to implement additional measures while continuing to rigorously implement the interventions recommended for an outbreak similar to the springsummer 2009 H1n1 outbreak If severity increases public health offi-cials may recommend a variety of methods for increasing the physical distance between people (called social distancing) to reduce the spread of disease such as school dismissal child care program closure canceling large community gatherings canceling large business-related meetings spacing workers farther apart in the workplace canceling non-essential travel

and recommending work-from-home strategies for workers that can conduct their business remotely

Please remember employers should develop capabilities to respond to both scenarios and these two conditions serve only as a planning framework Businesses and other employ-ers should develop flexible capabilities to respond to either situation given the difficulties in accurately predicting the ex-tent and severity of 2009 H1n1 as it unfolds during the 2009ndash2010 influenza season Individual businesses may implement additional actions if they experience high absenteeism or business continuity is compromised In addition employers should be aware that other emergencies such as hurricanes or other natural disasters may happen during the fall and win-ter creating additional challenging problems for businesses and communities

WORk WITH STATE AND LOCAL PUBLIC HEALTH PARTNERS

Coordination with state and local health officials is strong-ly encouraged for all businesses so that timely and accurate information can guide appropriate responses in each location where their operations reside since the intensity of an out-break may differ according to geographic location local pub-lic health officials will be issuing guidance specific to their communities Also businesses could work with public health and community leaders to explore ways of improving accessi-bility of vaccination for the workforce and in the community

kEEP SICk WORkERS HOME

one of the best way to reduce the spread of influenza is to keep sick people away from well people However in the fall and winter it will not be possible to quickly determine if workers who are ill have 2009 H1n1 seasonal influenza or any number of other different conditions based on symptoms alone local and state health department surveillance infor-mation can be helpful to know when influenza is circulating in the community although the availability timeliness and amount of local information on when influenza is circulating may vary substantially from community to community

Workers who have symptoms of influenza-like illness3 are recommended to stay home and not come to work until at least 24 hours after their fever has resolved4 Regardless of the size of the business or the function or services that you pro-vide all employers should plan now to allow and encourage sick workers to stay home without fear of losing their jobs CDC recommends this strategy for all levels of severity em-ployers should plan now for how they will operate if there is significant absenteeism from sick workers However employ-ers should know that some persons with influenza including those ill with 2009 H1n1 do not have fever Therefore it will not be possible to exclude everyone who is ill with influenza from the workplace

BE PREPARED IF SCHOOLS DISMISS STUDENTS OR CHILD CARE PROGRAMS CLOSE

In some communities schools may dismiss students and childcare programs may close particularly if the severity in-

O C T O B e r 2 0 0 9 | 13

creases5 officials will make these decisions to protect pub-lic health but they will affect your businessrsquos functioning es-pecially affecting absenteeism Plan now to determine how you will operate if absenteeism spikes from increases in sick workers those who stay home to care for ill family members and those who must stay home to watch their children if dis-missed from school Businesses and other employers should prepare to institute flexible workplace and leave policies for these workers

Actions Employers Should Take NowReview or establish a flexible influenza pandemic plan n

and involve your employees in developing and reviewing your planConduct a focused discussion or exercise using your plan n

to find out ahead of time whether the plan has gaps or problems that need to be corrected before flu seasonHave an understanding of your organizationrsquos normal n

seasonal absenteeism rates and know how to monitor your personnel for any unusual increases in absenteeism through the fall and winterengage state and local health department to confirm n

channels of communication and methods for dissemina-tion of local outbreak informationAllow sick workers to stay home without fear of losing n

their jobsDevelop other flexible leave policies to allow workers to n

stay home to care for sick family members or for children if schools dismiss students or child care programs closeshare your influenza pandemic plan with employees and n

explain what human resources policies workplace and leave flexibilities and pay and benefits will be available to themshare best practices with other businesses in your com- n

munities (especially those in your supply chain) cham-bers of commerce and associations to improve communi-ty response efforts andAdd a ldquowidgetrdquo or ldquobuttonrdquo to your company Web page n

or employee Web sites so employees can access the lat-est information on influenza wwwcdcgovwidgets and wwwcdcgovsocialMediaCampaignsH1n1buttonshtml

Important Components of an Influenza Pandemic Plan

Be prepared to implement multiple measures to protect n

workers and ensure business continuity A layered ap-proach will likely work better than using just one mea-sureIdentify possible work-related exposure and health risks n

to your employees The occupational safety and Health Administration (osHA) has developed tools to determine if your employees are at risk of work-related exposures and if so how to respond (see wwwoshagovdsgtopics

I n d e p e n d e n t hellip B u t N o t A l o n e P P S C i s Y o u r P a r t n e r f o r S u c c e s s

WorkSmarter

PPSC can help your independent pharmacy become more efficient and productive through its innovative Work Smarter programs and services

PPSC can help youENHANCE operational workflowsAUTOMATE dispensing product

returns and Part B billingREDUCE claim resubmissionsINCREASE your profits

For more on how PPSC can maximize the potential of your independent pharmacy visit wwwppsconlinecom or call toll-free 888-778-9909

14 | f L O r i d a p h a r m a C y T O d a y

City of Tallahassee Declares October as American Pharmacists Month

Tallahassee Mayor John Marks has declared october as American Pharmacist Month In a procla-mation signed on october 1 2009 Mayor Marks urged all citizens to acknowledge the valuable servic-es of pharmacists to provide safe affordable and beneficial pharma-ceutical care services and prod-ucts to all citizens

The Florida Pharmacy Associa-tion wish to thank our FAMU in-tern Carina Davison for her work with the City of Tallahassee dur-ing her rotation here at the FPA of-fice

FROM THE GOVERNING BODY OFTHE CITY OF TALLAHASSEE

PROCLAMATIONWhereas pharmacy is one of the oldest of the health professions con-cerned with the health and well-being of all people andWhereas today there are over 254000 pharmacists practicing in the United States and over 400 pharmacists licensed in the city of Tallahassee providing services to assure the rational and safe use of all medications andWhereas the use of medication as a cost-effective alternative to more expensive medical procedures is becoming a major force in moderating overall health care costs andWhereas todays powerful medications require greater attention to the manner in which they are used by different patient population groups -both clinically and demographically andWhereas it is important that all users of prescription and nonprescrip-tion medications or their caregivers be knowledgeable about and share responsibility for their own drug therapy andWhereas the American Pharmacists Association and the Florida Phar-macy Association have declared October as American Pharmacists Month with the theme Know Your Medicines - Know Your Pharmacist

Now therefore be it resolved that I John Marks do hereby proclaim October as

American Pharmacists Month

in the city of Tallahassee and urge all our citizens to acknowledge the valuable services of pharmacists to provide safe affordable and beneficial pharmaceutical care services and products to all citizens

O C T O B e r 2 0 0 9 | 15

pandemicfluindexhtml)Review human resources policies to make sure that poli- n

cies and practices are consistent with public health rec-ommendations and are consistent with existing state and federal workplace laws (for more information on employ-er responsibilities employers should visit the Department of laborrsquos and the equal employment opportunity Com-missionrsquos websites at wwwdolgov and wwweeocgov)Allow employees to stay home if they are ill have to care n

for ill family members or must watch their children if schools or childcare facilities closeexplore whether you can establish policies and practices n

such as flexible worksites (eg telecommuting) and flex-ible work hours (eg staggered shifts) when possible to increased the physical distance among employees and be-tween employees and others if local public health author-ities recommend the use of social distancing strategies ensure that you have the information technology and in-frastructure needed to support multiple workers who may be able to work from homeIdentify essential business functions essential jobs or n

roles and critical elements within your supply chains (eg raw materials suppliers subcontractor servicesproducts and logistics) required to maintain business op-erations Plan for how your business will operate if there is increasing absenteeism or these supply chains are inter-ruptedset up authorities triggers and procedures for activat- n

ing and terminating the companyrsquos response plan alter-ing business operations (eg possibly changing or closing operations in affected areas) and transferring business knowledge to key employees Work closely with your lo-cal health officials to identify these triggersPlan to minimize exposure to fellow employees or the n

public if public health officials call for social distancingestablish a process to communicate information to work- n

ers and business partners on your 2009 H1n1 influenza response plans and latest 2009 H1n1 influenza informa-tion Anticipate employee fear anxiety rumors and mis-information and plan communications accordingly

over the past several years HHs CDC DHs osHA eeoC and other federal partners have developed guidelines including checklists to assist businesses industries and oth-er employers in planning for a pandemic outbreak Review these resources to assist in your planning efforts wwwflugovplanworkplaceplanningindexhtml

The recommendations that follow provide guidance on how employers can develop strategies and respond to two levels of severity local conditions will influence the deci-sions that public health officials make regarding community-level strategies employers should take the time now to learn about plans in place in each community where they have a presence

Recommended Employer Responses for the 2009-2010 Flu SeasonRecommended Action Steps under Current Flu Conditions (similar severity as in SpringSummer 2009)

If the severity of illness in the fall and winter is similar to that observed in the spring and summer of 2009 the effects of 2009 H1n1 influenza may not have substantial impacts on absenteeism though some increase in absenteeism over the spring season is anticipated When larger numbers of people become ill correspondingly larger numbers of people will be-come seriously ill and may require hospitalization

SICK PERSONS SHOuLD STAY HOMEAdvise workers to be alert to any signs of fever and any n

other signs of influenza-like illness6 before reporting to work each day and notify their supervisor and stay home if they are ill employees who are ill should not travel while they are illCDC recommends that employees with influenza-like ill- n

ness remain at home until at least 24 hours after they are free of fever (100deg F [378deg C] or greater) or signs of a fever without the use of fever-reducing medicationsexpect sick employees to be out for about 3 to 5 days in n

most cases even if antiviral medications are usedensure that your sick leave policies are flexible and con- n

sistent with public health guidance and that employees are well aware of these policiesTalk with companies that provide your company with n

contract or temporary workers about the importance of sick workers staying home and encourage them to devel-op non-punitive leave policiesDo not require a doctorrsquos note for workers who are ill with n

influenza-like illness to validate their illness or to return to work as doctorrsquos offices and medical facilities may be extremely busy and may not be able to provide such doc-umentation in a timely way employees who are well but who have an ill family mem- n

ber at home with influenza can go to work as usual How-ever these employees should monitor their health every day and notify their supervisor and stay home if they be-come ill employers should maintain flexible policies that permit employees to stay home to care for an ill family member employers should be aware that more workers may need to stay at home to care for ill children or other ill family members than is usual

SICK EMPLOYEES AT WORK SHOuLD BE ASKED TO gO HOME

CDC recommends that workers who appear to have an n

influenza-like illness upon arrival or become ill during the day be promptly separated from other workers and be advised to go home until at least 24 hours after they are free of fever (100deg F [378deg C] or greater) or signs of a fever without the use of fever-reducing medications Those who become ill with symptoms of an influenza-like n

illness during the work day should be

16 | f L O r i d a p h a r m a C y T O d a y

o separated from other workers and asked to go home promptly (For recommendations on personal protec-tive equipment for a person assisting the ill employee see Interim Recommendations for Facemask and Res-pirator Use to Reduce novel Influenza A (H1n1) Vi-rus Transmission httpwwwcdcgovh1n1flumaskshtm)

o When possible and if they can tolerate it workers with influenza-like illness should be given a surgical mask to wear before they go home if they cannot be placed in an area away from others

If an employee becomes ill at work inform fellow employ- n

ees of their possible exposure in the workplace to influen-za-like illness but maintain confidentiality as required by the Americans with Disabilities Act (ADA) For more in-formation on privacy issues please refer to httpwwwflugovfaqworkplace_questionsequal_employmentin-dexhtmlPrivacyIssues employees exposed to a sick co-worker should monitor themselves for symptoms of influ-enza-like illness and stay home if they are sick

COVER COugHS AND SNEEzESInfluenza viruses are thought to spread mainly from per- n

son to person in respiratory droplets of coughs and sneez-es Provide employee messages on the importance of cov-ering coughs and sneezes with a tissue or in the absence of a tissue onersquos sleeve Place posters in the worksite that encourages cough and sneeze etiquetteProvide tissues and no-touch disposal receptacles for use n

by employees

IMPROVE HAND HYgIENEInfluenza may be spread via contaminated hands In- n

struct employees to wash their hands often with soap and water or use an alcohol-based hand cleaner especially af-ter coughing or sneezing Place posters in the worksite that encourage hand hygieneProvide soap and water and alcohol-based hand sanitiz- n

ers in the workplace ensure that adequate supplies are maintained If feasible place hand sanitizers in multiple locations or in conference rooms to encourage hand hy-giene

CLEAN SuRFACES AND ITEMS THAT ARE MORE LIKELY TO HAVE FREquENT HAND CONTACT

Frequently clean all commonly touched surfaces in the n

workplace such as workstations countertops and door-knobs Use the cleaning agents that are usually used in these areas and follow the directions on the labelno additional disinfection beyond routine cleaning is rec- n

ommendedENCOuRAgE EMPLOYEES TO gET VACCINATED

encourage your employees to get vaccinated for seasonal n

influenza For information on groups prioritized for sea-sonal influenza vaccines please see httpwwwcdcgovfluprotectkeyfactshtm encourage your employees also to get vaccinated for 2009 n

H1n1 influenza when vaccines are available to them Dif-ferent groups are prioritized for 2009 H1n1 influenza than for seasonal influenza For information on groups prioritized for H1n1 influenza vaccine please see httpwwwcdcgovh1n1fluvaccinationaciphtm offer opportunities at your worksite for influenza vacci- n

nation Consider granting employees time off from work to get vaccinated if not offered at the worksiteReview the health benefits you offer employees and work n

with insurers to explore if they can cover the costs of in-fluenza vaccination

TAKE MEASuRES TO PROTECT EMPLOYEES WHO ARE AT HIgHER RISK FOR COMPLICATIONS OF INFLuENzA

People at higher risk for complications from influenza in- n

clude pregnant women children under 5 years of age adults and children who have chronic lung disease (such as asthma) heart disease diabetes diseases that suppress the immune system and other chronic medical conditions and those who are 65 years or older7 Inform employees that some people are at higher risk of n

complications from influenza and that if they are at high-er risk for complications they should check with their health care provider if they become ill early treatment with antiviral medications is very important for people at high risk because it can prevent hospitalizations and deathsencourage employees recommended for seasonal influ- n

enza vaccine and 2009 H1n1 vaccines to get vaccinated as soon as these vaccines are available For information on groups prioritized for seasonal and H1n1 vaccines please see httpwwwcdcgovfluprotectkeyfactshtm and httpwwwcdcgovh1n1fluvaccinationaciphtmemployees who become ill and are at increased risk of n

complications from influenza and ill employees who are concerned about their illness should call their health care provider for advice Their health care provider might want them to take antiviral medications to reduce the likelihood of severe complications from the influenzasee n httpwwwcdcgovh1n1fluqahtm for more infor-mation

PREPARE FOR INCREASED NuMBERS OF EMPLOYEE ABSENCES DuE TO ILLNESS IN EMPLOYEES AND THEIR FAMILY MEMBERS AND PLAN WAYS FOR ESSENTIAL BuSINESS FuNCTIONS TO CONTINuE

employers should plan to monitor and respond to ab- n

senteeism at the workplace Implement plans to contin-ue your essential functions in case you experience high-er than usual absenteeism elevated absentee rates can be due to sick workers those who need to stay home and care for others or from workers with conditions that make them at higher risk for complications from influen-za and who may be worried about coming to work Cross-train personnel to perform essential functions so n

that the workplace is able to operate even if key staff are absent

O C T O B e r 2 0 0 9 | 17

Assess your essential functions and the reliance that oth- n

ers and the community have on your services or products Be prepared to change your business practices if need-ed to maintain critical operations (eg identify alternative suppliers prioritize customers or temporarily suspend some of your operations if needed)

ADVISE EMPLOYEES BEFORE TRAVELINg TO TAKE CERTAIN STEPS

Advise workers to check themselves for fever and any n

other signs of influenza-like illness before starting travel and notify their supervisor and stay home if they are illAdvise employees who will be traveling or on temporary n

assignment about precautions they may need to take to protect their health and who to call if they become illemployees who become ill while traveling and are at in- n

creased risk of complications from influenza and oth-ers concerned about their illness should promptly call a health care provider for adviceensure employees who become ill while traveling or on n

temporary assignment understand that they should noti-fy their supervisor If outside the United states ill employees should fol- n

low your companyrsquos policy for obtaining medical care or contact a health care provider or overseas medical assis-tance company to assist them with finding an appropriate health care provider in that country if needed A Us con-sular officer can help locate health care services However Us embassies consulates and military facilities do not have the legal authority capability and resources to evac-uate or give medications vaccines or medical care to pri-vate Us citizens overseassee CDCrsquos Travel Website ( n httpwwwncdcgovtrav-elcontentnovel-h1n1-fluaspx) for more information for travelers

PREPARE FOR THE POSSIBILITY OF SCHOOL DISMISSAL OR TEMPORARY CLOSuRE OF CHILD CARE PROgRAMS

Although school dismissals or closures of child care pro- n

grams are not likely to be generally recommended at this level of severity they are possible in some jurisdictions Be prepared to allow workers to stay home to care for n

children if schools are dismissed or child care programs are closed strongly recommend that parents not bring their children n

with them to work while schools are dismissedensure that your leave policies are flexible and non-puni- n

tive Cross-train employees to cover essential functions n

Read CDCrsquos Guidance for state and local Public Health n

officials and school Administrators for school (K-12) Re-sponses which can be found at httpwwwcdcgovh1n-1fluschoolsschoolguidancehtm to better understand the conditions under which schools may be dismissed

Under Conditions with Increased Severity Compared to SpringSummer 2009

If 2009 H1n1 becomes more severe than during springsummer 2009 absenteeism will likely be far greater and ad-ditional protective measures to slow the spread of influenza may be considered Check with your local health department for the extent and severity of disease activity in your commu-nity and for recommendations for necessary measures Deci-sions about what tools should be used during a severe 2009 H1n1 outbreak should be based on the observed severity of the event its impact on specific subpopulations the need to protect workers the expected benefit of the interventions the feasibility of success of implementing these measures the di-rect and indirect costs of different interventions and the ef-fects on critical infrastructure health care delivery and soci-ety The following are measures that should be considered if influenza severity increases and are meant for use in addition to the measures outlined above

CONSIDER ACTIVE SCREENINg OF EMPLOYEES WHO REPORT TO WORK

If influenza severity increases at the beginning of the n

workday or with each new shift all employees should be asked about symptoms consistent with an influenza ill-ness8 such as fever or chills AnD cough or sore throat If the severity or the impact of influenza increases CDC rec-ommends that persons with an influenza-like illness not come to work or travel and remain at home for at least 7 days even if symptoms resolve sooner Individuals who are still sick 7 days after they become ill should continue to stay home until at least 24 hours after symptoms have resolved If influenza severity increases CDC recom-mends that people stay home at least 7 days whether or not antiviral medications are usedMake sure your sick leave policies are flexible and consis- n

tent with public health guidance and that your employ-ees are aware of these policies Do not require a doctorrsquos note for workers who are ill with n

influenzaContinue to advise workers to check for any signs of ill- n

ness before reporting to work each dayMake contingency plans for increased absenteeism n

caused by illness in workers or illness in workersrsquo family members that would require them to stay home Planning for absenteeism could include cross-training current em-ployees or hiring temporary workers

CONSIDER ALTERNATIVE WORK ENVIRONMENTS FOR EMPLOYEES AT HIgHER RISK FOR COMPLICATIONS OF INFLuENzA DuRINg PERIODS OF INCREASED INFLuENzA ACTIVITY IN THE COMMuNITY

employees with an underlying chronic medical condition n

or who are pregnant should consider calling their health care provider for advice about how to reduce their risk of exposure to influenza and if they get sick how best to get early treatment for influenzaIf influenza severity increases and if influenza transmis- n

sion is high in the community employers may want to evaluate their work environment to see how they can re-

18 | f L O r i d a p h a r m a C y T O d a y

duce the number of people that high-risk employees come in contact with such as exploring options for telecom-muting from home (if feasible) employers can also think about how workers at higher risk for influenza compli-cations could be reassigned to duties that have minimal contact with other employees clients or customers If these workers cannot be reassigned duties to reduce con-tact with others are concerned about their ability to avoid influenza at the workplace or will be in crowded condi-tions at work or while commuting to work then consider allowing employees at higher risk for influenza complica-tions to stay home from workCDC recommends that ill workers at higher risk of com- n

plications from influenza seek early treatment if they be-come illsee n httpwwwcdcgovh1n1fluqahtm for more infor-mation

CONSIDER INCREASINg SOCIAL DISTANCINg IN THE WORKPLACE

If influenza severity increases local public health offi- n

cials may recommend that employers implement mea-sures to increase the physical distance between people in the workplace to reduce the spread of influenza The goal should be for there to be at least 6 feet of distance between people at most times This is not a simple or easy strategy and would typically require considerable flexibility These measures may include avoiding crowded work settings canceling business-related face-to-face meetings spacing workers farther apart canceling non-essential travel in-creasing use of teleworking and using staggered shifts to allow fewer workers to be in the workplace at the same time9

If appropriate for your type of business and feasible re- n

view or develop policies for teleworking including an as-sessment of the capabilities and gaps of your current com-puter systems and availability of technical support Take remedial steps if needed and test your system in advance to assure it can handle an increase in remote usersRecommendations to increase social distancing may af- n

fect community functioning Because supply chain issues may be affected make sure you have plans for back-up suppliers

CONSIDER CANCELINg NON-ESSENTIAL BuSINESS TRAVEL AND ADVISINg EMPLOYEES ABOuT POSSIBLE DISRuPTIONS WHILE TRAVELINg OVERSEAS

If the severity of the outbreak worldwide increases in the n

fall or winter public health officials may recommend so-cial distancing strategies which include canceling non-es-sential travel and travel restrictions may be enacted by some countries which may limit the ability of employees to return home if they become ill while on travel statusIf influenza severity increases travelers should also be n

prepared for travel delays health screenings and other activities targeted towards travelers Provide information to travelers about contingency plans and how their travel

can be rebooked for these possible delays

PREPARE FOR SCHOOL DISMISSAL OR CLOSuRE OF CHILD CARE PROgRAMS

school dismissals and closure of child care programs are n

more likely at higher levels of severity Be prepared to allow workers to stay home to care for their children if schools are dismissed or child care programs are closed If dismissal is needed schools are being advised to dis-miss students for at least 5 to 7 calendar days or longer if necessary encourage employees who perform essential functions n

and who have children to plan for contingencies should local child care programs close or schools dismiss stu-dents Be prepared for prolonged absenteeism if schools dismiss n

students for an extended time Make sure your leave poli-cies are flexible and non-punitive employers should strongly recommend that parents not n

bring their children with them to work while schools are dismissedImplement flexible workplace policies like teleworking n

and staggered shifts Cross-train employees to cover essential functions n

Read CDCrsquos school guidance which can be found at n

httpwwwcdcgovh1n1fluschoolsschoolguidancehtm to better understand the conditions under which schools may be dismissed

OTHER CONSIDERATIONSAs part of their comprehensive pandemic planning n

some public and private sector employers have stock-piled or otherwise arranged for influenza antiviral drugs to be available for their employees during a pandemic To guide these efforts HHs released guidance to busi-nesses in 2008 entitled Considerations for Antiviral Drug Stockpiling by Employers in Preparation for an Influenza Pan-demic (httpwwwflugovvaccineantiviral_employershtml) see updated interim guidance on the use of antivi-ral agents for treatment and prophylaxis of 2009 H1n1 in-fluenza infection at httpwwwcdcgovh1n1flurecom-mendationshtmemployers should be aware that the severity of 2009 n

H1n1 influenza could change rapidly therefore local public health recommendations to communities and busi-nesses could be revised quickly Planners should identi-fy sources of timely and accurate information so they are aware of changes to recommendations and can promptly implement revised or additional measures recommended by local public health officials

O C T O B e r 2 0 0 9 | 19

The Florida Pharmacy Association 2009 ResolutionsPresented to the House of Delegates

It is an honor to serve as your 2009-2010 FPA speaker of the House of Delegates I have the privilege of follow-ing in the footsteps of some of FPArsquos most effective and prominent leaders and speakers including most recently suzanne Kelly

The House meeting held during the 2009 FPA An-nual Meeting in st Augustine was a lively and exciting meeting for our association If you missed the meeting or unaware of how the FPA House of Delegates serves itrsquos membership I strongly encourage you to contact myself directly or any of the FPA House of Delegates Board of Di-rectors Any one of us will be happy to get you involved and excited about this group and share with you how ev-ery resolution directly impacts the direction of the associ-ation and you its member

The FPA Board of Directors of the House of Delegates is made up of the following faithful memberssuzanne Kelly ndash Chair of the House of Delegates Board

of DirectorsAlexander Pytlarz ndash speaker of the House of DelegatesWilliam Riffee ndash Vice-speakershannon Zandy ndash DirectorCaridad Ferree ndash DirectorJosh Fields ndash Director Karen Whalen ndash FPA PresidentHumberto Martinez ndash FPA President-electMichael A Mone ndash ParliamentarianMichael A Jackson ndash FPA executive Vice President amp

Ceoon behalf of the House Board of Directors Irsquod like to

welcome the newest members of the House Board of Di-

rectors Dean William Riffee Vice-speaker and Caridad Ferree Director were elected at this years FPA Annual Meeting We look forward to their involvement

The House also had the privilege of introducing two new invited organizations to the House They are nige-rian Pharmacists Association and Florida Independent Pharmacy network

If any member represents an organization that wants to be involved in the House of Delegates please contact me directly I will be happy to work with you and your or-ganization so you are represented within the House and have your voice heard by all FPA members

At this past yearrsquos meeting the House reviewed eight submitted resolutions Below is a summary of the actions of the each resolution that the House took and to what committee the adopted resolutions were referred to by your President Karen Whalen Please review these reso-lutions as they will impact the policies and direction of our association If you have any comments or questions please feel free to contact me or any member of the House Board As always itrsquos never too early to start thinking about possible resolutions for next years House

Thank you for the opportunity to serve you and the Florida Pharmacy Association

Best regards

Alexander Pytlarz2009-2010 speaker of the House of Delegates

RESOLUTION 1

Pharmacy Manager in Charge Man-date rule changes for the State require to be on-site 24 hr perweekBroward County Pharmacist Associa-tion

Whereas There is no statutory or rule requirement for a Manager in Charge to be present in the Pharmacy

Whereas over the last few years in-ternet practices and non-pharmacist owned pharmacies have flourished in practice settings that were poorly su-pervised

Be it Resolved that the FPA propose that the Florida Pharmacy Board pro-mulgate rules which safeguard the public by having a Responsible par-ty (Pharmacy Manager of Record) on

premises 24 hrs per given week

Contact Broward County Pharmacist AssocDaniel P sweet RPhPast President Board Member954-232-8202

Intent To protect the public from non-pharmacist owners to influence the practice of pharmacy by placing a phar-

20 | f L O r i d a p h a r m a C y T O d a y

macist on record without reviewing the day to day operations of Pharmacy Practice and its Rules and statues

Resolution not Adopted

Respectfully submitted

Broward County Pharmacist Associa-tion

RESOLUTION 2

Repeal 40 hr Rule for Community Pharmacy PermitBroward County Pharmacist Associa-tion

Whereas the Practice of Pharmacy is evolving to an Information Profession where pharmacists will be reviewing medication therapy

Whereas in populated areas there are multiple pharmacies in a compact radi-us

Be it Resolved that the Florida Board of Pharmacy act in repealing the 40 hr rule for Community Pharmacy Permit withstanding that there is a pharmacy within 5 miles with extended hours or a 24 hr pharmacy within 2 miles

Contact Daniel P sweet RPhPast President Board Member Broward County Pharmacist Assoc954-232-8202

Intent With Pharmacy Practice evolv-ing with more Pharmacists are going to use there education to create office type practice The Pharmacist will need to be off-site to review medications and council patients on the use of their medication

Respectfully submittedBroward County Pharmacist Associa-tion

Motion to amendAmendment passedspeaker unable to determine the posi-

tion of the House on voice votestanding vote called for by the House speakerResolution adopted on standing vote

RESOLUTION 3

Physician Dispensing ndash Limiting Scope as Pertains to Controlled Sub-stancesBroward County Pharmacists Associa-tion

Whereas a significant problem regard-ing the misuse of controlled substances in our state has been identified and

Whereas the checks and balances that the pharmacist brings to the equation of reducing the potential for misuse of controlled substances due to conflicts of interest is circumvented in the phy-sician dispensing model

Be it Resolved that the FPA seek legis-lative changes to limit the in-office dis-pensing of controlled substances up to and not more than a three (3) day sup-ply Contact Broward County Pharmacists AssociationDaniel P sweet RPhPast President Board Member954-232-8202

Motion to amend the phrase ldquowork with the respective BoardsrdquoAmendment is adoptedMotion to amend by adding the words ldquouprdquo and the words ldquoand not more thanrdquo to the first sentenceMotion to amend passesMotion to amend by striking the last sentence of the resolveMotion to amend passesResolution Adopted

Intent With the advent of Pain Man-agement Clinics with Dispensaries Pa-tient safety and control is lost by not having a Pharmacist oversee the pa-tientsrsquo therapeutic management with-in the guidelines of the FDA and Con-trolled substance Abuse Act

RESOLUTION 4

Pharmacy Service TaxBroward County Pharmacists Associa-tion

Whereas Pharmacy has assumed the burden of absorbing the costs associat-ed with receiving and sending data to all sources

Whereas these costs continue to grow and are not associated with the cost of the product or filling fee received then

Be it Resolved that the FPA work with the proper legislative process for the state to create a TAX for prescriptions to cover all communication costs inher-ent in Rx processing for e-prescribing communications to PBMrsquos and data re-porting costs for handling in-state re-porting of Controlled substances

Be it Further Resolved that the col-lected tax be used only for Pharmacy Claims Administrative Costs in han-dling the claims and bear no economic andor administrative burdens on the pharmacy

Resolution not Adopted

Contact Broward County Pharmacists AssociationDaniel P sweet RPhPast President Board Member954-232-8202

Intent With greater dependency on data network and associated costs to all pharmacies we have been placed in a pinch With the state controlling the process we gain on many fronts First no back-end costs on any Rx claim next the state can legally charge PBMrsquos un-der contract and will be responsible for collecting the tax and lastly the state can use their collective bargain-ing power to reduce the costs associat-ed with data transmission

Respectfully submitted

Broward County Pharmacists Associa-tion

O C T O B e r 2 0 0 9 | 21

RESOLUTION 5

RPh Not a Degree Designationleon County Pharmacy Association

WHEREAS pharmacists with a PharmD degree very proudly and rightfully use their degree designation of PharmD with their name and

WHEREAS pharmacists with a BsP degree generally use RPh with their name and

WHEREAS the designation of RPh for Registered Pharmacist is not a degree designation and was enacted into the original Florida Pharmacy Practice Act of 1889 The current practice act defines a pharmacist as a licensed Pharmacist lPh

THEREFORE the leon County Phar-macy Association moves that the FPA promote the use of the BPharm desig-nation for the BsP degree in place of the RPh designation which no longer is ref-erenced in the Florida Pharmacy Prac-tice Act

Motion to amendMotion to amend failsResolution Adopted

Contact persons Michael A Jackson- (850) 222- 2400Jim Powers- (850) 422- 0079

Background The resolution pretty well speaks for itself however it should be noted that in most national pharmacy publications pharmacists with a BsP degree are using the BPharm designa-tion behind their names In research-ing Dr Gene Gramlingrsquos book ldquoA His-tory of Pharmacy in Floridardquo it has the Florida Pharmacy Practice Act of 1889 which reads as follows section 4 Be it further enacted that the Board of Phar-macy shall register in a suitable book the names and places of residence of all persons to whom they issue certifi-cates and dates thereof It shall be the duty of said Board of Pharmacy to reg-ister without examination as registered pharmacists all pharmacists and drug-gists who are engaged in business in

the state of Florida at the passage of this act as owners or principals of stores or pharmacies In any village town or city of more than 200 inhabitants helliprdquo

RESOLUTION 6

Long Term Care regulatory frame-workFlorida Chapter of American society of Consultant Pharmacist

Whereas the Florida regulatory frame-work for long-term care pharmacy should be reviewed periodically to en-sure that it is consistent with current practice the FPA legislative commit-tee resolves to coordinate with the Flor-ida Chapter of the American society of Consultant Pharmacists to review the current regulatory framework for long-Term Care pharmacy in Florida

Resolved that the FPA legislative Committee coordinate with the Flori-da Chapter of the American society of Consultant Pharmacists to review the current regulatory framework for long-Term Care Pharmacy in Florida

Resolve substituted by the sponsor and accepted by the House substitute Resolution Adopted

Contact name and Phone stephen J Grabowski (727) 945-0760

Problem As the number of our nationrsquos seniors has grown so to have the de-mands and challenges placed upon the pharmacists serving those seniors who live in long-term care facilities since the practice of pharmacy has evolved over the years with increased workload demands changing roles of pharmacy technicians and new technologies so too have the regulatory guidelines and oversight responsibilities of the state boards

Intent not only will the practice of pharmacy need to adapt to the needs of seniors in long-term care facilities but state board of pharmacies and phar-macists under their preview must un-

derstand the impact of these changes Pharmacists practicing in long-term care must collaborate with state boards of pharmacy to update practice acts to ensure the protection of the health safety and welfare of the public

RESOLUTION 7

Evaluation of the ldquoPedigree Docu-mentation Programrdquo as stated in Flor-ida Statue 499Alachua County Association of Phar-macists

Whereas Florida statue 499 states that its purpose is to safeguard the public health and promote the public welfare by protecting the public from injury by product use and by merchandising de-ceit involving drugs devices and cos-metics

Whereas Pharmacies Pharmacists Pharmacy Wholesalers Pharmaceuti-cal Manufacturers and Pharmacy Re-packagers are all an integral part of this program

Whereas there is financial costs associ-ated with this program

Whereas there are penalties associated with this program

RESOLVED - The FPA request the Agency for Health Care Administra-tion to evaluate the ldquoPedigree Docu-mentation Programrdquo (49901212) to de-termine effectiveness and identification of improvements in the program for the protection of the public safety

Problem - The state of Florida enact-ed the ldquoPedigree Documentation Pro-gramrdquo (49901212) to keep adulterated and misbranded pharmaceuticals from consumers

Intent - To determine the effectiveness of the ldquoPedigree Documentation Pro-gramrdquo in achieving its purpose

Resolution Adopted

22 | f L O r i d a p h a r m a C y T O d a y

sion forward Please join us in Talla-hassee next March

FPA Legislative Key Contact Network

The FPA legislative Committee would like to match up at least one pharmacist with every key legisla-tor in the state If you currently have a relationship with one of your state legislators or if you are willing to take the steps listed above to be one of our grassroots advocates we want to know sign up to be a member of our Key legislative Contacts If you can help please let us know by con-tacting any member of the legisla-tive Committee listed below or you may contact me directly at klwizcomcastnet

lastly your legislative Commit-tee deserves a BIG ldquoThank Yourdquo for their time and effort These mem-bers have stepped up to help our profession grow and prosper Fol-lowing is a list of the members of the 2009-2010 FPA legislative Commit-teeDavid AndrewsDon BergemannGary DalinMitchell FingerhutAmy FerrolRamy GabrielMark HobbsMichael JacksonHumberto MartinezMark PercifieldManny PrieguezAlexander PytlarzTeysha RichardsonWilliam RiffeeTheresa Tollenorman TomakaAmanda Waltemathlori WeemsKaren WhalenRobert WilburChristine Yocum

Ken Wisniewski2009-2010 legislative Committee Chair

Viewpoint continued from page 5Respectfully submitted

Alachua County Association of Phar-macists

RESOLUTION 8

Continuous quality Improvement Program-Program EvaluationAlachua County Association of Phar-macists

Whereas the CQI Program is a system of standards and procedures to identify and evaluate quality-related events and improve patient care

Whereas some of the main goals of FPA and the Board of Pharmacy is to improve patient care and safety

Whereas an evaluation of the CQI Pro-gram may identify improvements that could be incorporated into the pro-gram

Whereas information about patient safety practices obtained from the pro-gram evaluation would be helpful if shared with the pharmacists of Florida and the nation

Resolved that the FPA request the Flor-ida Board of Pharmacy to conduct a Program evaluation of the Continuous Quality Improvement Program (64B16-27300)

Problem- since the enactment of 64B16-27300 Continuous Quality Improve-ment (CQI) Program there has not been a program evaluation

Intent- The evaluation of the CQI Pro-gram for effectiveness

Respectfully submittedAlachua County Association of Phar-macists

Resolution Adopted

JOIN TODAY

Florida Pharmacy Association

O C T O B e r 2 0 0 9 | 23

RESOLUTION 1Pharmacy Manager in Charge Man-date rule changes for the State require to be on-site 24 hr perweekBroward County Pharmacist Associa-tion Whereas There is no statutory or rule requirement for a Manager in Charge to be present in the PharmacyWhereas over the last few years in-ternet practices and non-pharmacist owned pharmacies have flourished in practice settings that were poorly su-pervisedBe it Resolved that the FPA propose that the Florida Pharmacy Board pro-mulgate rules which safeguard the public by having a Responsible par-ty (Pharmacy Manager of Record) on premises 24 hrs per given weekContact Broward County Pharmacist AssocDaniel P sweet RPhPast President Board Member954-232-8202Intent To protect the public from non-pharmacist owners to influence the practice of pharmacy by placing a phar-macist on record without reviewing the day to day operations of Pharmacy Practice and its Rules and statuesResolution Not AdoptedRespectfully SubmittedBroward County Pharmacist Associa-tion

RESOLUTION 2

Repeal 40 hr Rule for Community Pharmacy PermitBroward County Pharmacist Associa-tion Whereas the Practice of Pharmacy is evolving to an Information Profession where pharmacists will be reviewing medication therapyWhereas in populated areas there are multiple pharmacies in a compact radi-usBe it Resolved that the Florida Board of Pharmacy act in repealing the 40 hr rule for Community Pharmacy Permit withstanding that there is a pharmacy within 5 miles with extended hours or a 24 hr pharmacy within 2 milesContact

Daniel P sweet RPhPast President Board Member Broward County Pharmacist Assoc954-232-8202 Intent With Pharmacy Practice evolv-ing with more Pharmacists are going to use there education to create office type practice The Pharmacist will need to be off-site to review medications and council patients on the use of their medicationRespectfully SubmittedBroward County Pharmacist Associa-tion Motion to amendAmendment passedSpeaker unable to determine the posi-tion of the House on voice voteStanding vote called for by the House SpeakerResolution adopted on standing vote

RESOLUTION 3

Physician Dispensing ndash Limiting Scope as Pertains to Controlled Sub-stancesBroward County Pharmacists Associa-tionWhereas a significant problem regard-ing the misuse of controlled substances in our state has been identified andWhereas the checks and balances that the pharmacist brings to the equation of reducing the potential for misuse of controlled substances due to conflicts of interest is circumvented in the phy-sician dispensing model Be it Resolved that the FPA seek legis-lative changes to limit the in-office dis-pensing of controlled substances up to and not more than a three (3) day sup-ply Contact Broward County Pharmacists Associa-tionDaniel P sweet RPhPast President Board Member954-232-8202Motion to amend the phrase ldquowork with the respective BoardsrdquoAmendment is adoptedMotion to amend by adding the words ldquouprdquo and the words ldquoand not more thanrdquo to the first sentenceMotion to amend passes

Motion to amend by striking the last sentence of the resolveMotion to amend passesResolution AdoptedIntent With the advent of Pain Man-agement Clinics with Dispensaries Pa-tient safety and control is lost by not having a Pharmacist oversee the pa-tientsrsquo therapeutic management with-in the guidelines of the FDA and Con-trolled substance Abuse Act

RESOLUTION 4

Pharmacy Service TaxBroward County Pharmacists Associa-tionWhereas Pharmacy has assumed the burden of absorbing the costs associat-ed with receiving and sending data to all sourcesWhereas these costs continue to grow and are not associated with the cost of the product or filling fee received thenBe it Resolved that the FPA work with the proper legislative process for the state to create a TAX for prescriptions to cover all communication costs inher-ent in Rx processing for e-prescribing communications to PBMrsquos and data re-porting costs for handling in-state re-porting of Controlled substancesBe it Further Resolved that the col-lected tax be used only for Pharmacy Claims Administrative Costs in han-dling the claims and bear no economic andor administrative burdens on the pharmacyResolution Not AdoptedContact Broward County Pharmacists Associa-tionDaniel P sweet RPhPast President Board Member954-232-8202Intent With greater dependency on data network and associated costs to all pharmacies we have been placed in a pinch With the state controlling the process we gain on many fronts First no back-end costs on any Rx claim next the state can legally charge PBMrsquos un-der contract and will be responsible for collecting the tax and lastly the state can use their collective bargain-ing power to reduce the costs associat-

EmailFax Network HotlineReceive up-to-date and up-to-the-min-ute information on legislative Develop-ments Board of Pharmacy changes and other topics affecting the profession of pharmacy Call FPA Member services at (850) 222-2400 ext 110 ndash rsimmonspharmviewcom

Tax ResourceProvides defense and protection of your assets when you are audited Tax Resource will defend their clients for any income tax audit Federal or state for any tax year Tax Resource pio-neered the tax audit service business and is the largest audit defense firm in the United states Call (800) 92-AUDIT (800-922-8348)

Atlantic Coupon Redemption Center Receive payment in 25 working days of couponrsquos face value plus a rebate of 16 cents based on store volume Call Meredith McCord (800) 223-0398

Florida Commerce Federal Credit Union The chief objective of a credit union is not generating profits for stockholders but to provide service to its member The members benefit by getting attrac-tive returns on savings loans made at fair rates of interest plus enhanced and expanded services This is probably one of the best deals around Call (850) 488-0035

Collection Services For past due accounts call I C system Inc Call (800) 328-9595

Other Member Benefits n Discounted Continuing education

Programsn Monthly Issues of the Florida Phar-

macy Today Journal

ITC Deltacom offering FPA members exclusive associa-tion discounts on telecommunication ser-vices including local services long dis-tance data networks telephone systems and dedicated internet access Call 850-701-3200 or visit wwwitcdeltacomcom

Pharmacy Resource Materials FPA provides the most recent and rele-vant resources necessary to meet your professional needs This includes the Continuous Quality Improvement Manu-al Controlled substance Inventory Book-lets and Pharmacy signs Please call FPA Members services for more information 850-222-2400 ext 110

FPA Website Visit our FPA Website at wwpharmviewcom The site launched in December 2004 and revised in october 2008 includes a members only section The website of-fers a secure server so that you can reg-isters for Ce programs renew your mem-bership or purchase resources materials with your credit card

in keeping with a tradition of offering our members real benefits the Florida Pharmacy association (FPa) is proud to announce the introduction of sponsored discount Benefits Program these vendors are dedicated to providing an excellent value to all FPa members and associates to take advantage of benefits contact the vendors directly at the numbers listed below and identify yourself as a FPa member and have your membership id number handy

MEMBERSHIP MATTERS

Florida Pharmacy Association

24 | f L O r i d a p h a r m a C y T O d a y

Wyeth Bowl of Hygeia

Awarded to a pharmacist for out-standing community service above and beyond professional duties The use of the following selection criteria is re-quired

The recipient must be a Florida li- n

censed pharmacist and a member of FPAThe recipient must be living Awards n

are not presented posthumouslyThe recipient has not previously re- n

ceived the awardThe recipient is not currently serving n

nor has heshe served within the immediate past 2 years on its award committee or an officer of the asso-ciation in other than an ex officio ca-pacityThe recipient has compiled an out- n

standing record of community ser-vice which apart from hisher spe-cific identification as a pharmacist reflects well on the profession

James H Beal Award

Awarded to the Pharmacist of the Year The criteria established for this award is that the recipient be a Flori-da registered pharmacist and a mem-ber of FPA who has rendered outstand-ing service to pharmacy within the past five yearsCriteria

The recipient must be a Florida reg- n

istered pharmacist and a member of the FPAThe recipient has rendered outstand- n

ing service to pharmacy within the past five years

Technician of the Year AwardAwarded annually to a Florida

pharmacy technician who is recog-nized for hisher outstanding perfor-mance and achievement during hisher career

Criteria

Candidate must be a member of n

the Florida Pharmacy Association for at least 2 yearsCandidate must have demonstrat- n

ed contributions and dedication to the advancement of pharmacy technician practiceCandidate must have demonstrat- n

ed contributions to the Florida Pharmacy Association andor oth-er pharmacy organizationsCandidate must have demonstrat- n

ed commitment to community ser-viceCandidate is not a past recipient of n

this award

RQ Richards Award

This award is based on outstanding achievement in the field of pharmaceu-tical public relations in FloridaCriteria

The recipient must be a Florida reg- n

istered pharmacist and a member of the FPAThe recipient has displayed out- n

standing achievement in the field of pharmaceutical public relations in Florida

Frank TobackAZO Consultant

Pharmacist Award

CriteriaCandidate must be an FPA member n

registered with the Florida Board of Pharmacy as a consultant pharma-cist in good standingCandidate should be selected based n

on their outstanding achievements in the field of consultant pharmacy

DCPA Sidney Simkowitz

Pharmacy Involvement Award

Presented annually to a Florida pharmacist who has been active at the local and state pharmacy association level in advancement of the profes-sion of pharmacy in Florida

CriteriaA minimum of five years of active n

involvement in and contributions to the local association and FPACandidate must have held office at n

local level pharmacy associationMember in good standing for a pe- n

riod of at least five years in the FPA and must have served as a member or chairman of a committee of the associationCandidate must have been active- n

ly involved in a project that has or could potentially be of benefit to members of the profession

Pharmacists Mutual Companies

Distinguished Young Pharmacist

Award

Awarded to a young pharmacist for their involvement and dedication to the practice of pharmacyCriteria

licensed to practice for nine (9) years n

or lesslicensed to practice in the state in n

which selectedParticipation in national pharmacy n

association professional programs andor community service

IPA Roman Maximo Corrons

Inspiration amp Motivation Award

Interamerican Pharmacists Association created this award to honor the memo-ry of Roman M Corrons who inspired and motivated countless pharmacists to participate actively and aspire to take on leadership roles in their profession Roman was always there with guidance and support that motivated pharma-cists and encouraged visionary leader-ship approachable active membership and succession planning This award recognizes the motivators among us who inspire others to continue to ad-vance the professionCriteria

C a L L f O r N O m i N a T i O N s F P A A W A R D S 2 0 0 9 - 2 0 1 0

O C T O B e r 2 0 0 9 | 25

DEADLINE FOR NOMINATIONS FEBRUARY 28 2010

The recipient must be a Florida li- n

censed Pharmacist and a member of the FPACandidate should motivate others n

to excel within the profession by en-couraging them to be leadersCandidate is not necessarily an as- n

sociation officer but guides sup-ports andor inspires others

A brief description on the candidatersquos motivationalinspirational skills must accompany the nomination

The Jean Lamberti

Mentorship Award

The Jean lamberti Mentorship Award was established in 1998 to hon-or those pharmacists who have taken time to share their knowledge and ex-

perience with pharmacist candidates The award is named in honor of long time FPA member Jean lamberti for her effort in working with pharmacy studentsCriteria

The recipient must be an FPA mem- n

berThe recipient must serve as a role n

model for the profession of pharmacy

Innovative Pharmacy Practice

Award

Awarded to honor practicing phar-macists who have demonstrated inno-vation in pharmacy practice that has resulted in improved patient careCriteria

The recipient has demonstrated inno- n

vative pharmacy practice resulting in improved patient careThe recipient should be a practic- n

ing pharmacist within the geograph-ic area represented by the presenting Association

Qualified nominee A pharmacist prac-ticing within the geographic area repre-sented by the presenting Association

I AM PLEASED TO SUBMIT THE FOLLOWING NOMINATION

Name

Address

FOR THE FOLLOWING AWARD

(Nomination Deadline February 28 2009)

Wyeth Bowl of Hygeia Award

James H Beal Award

RQ Richards Award

Frank TobackAZO Consultant Pharmacist Award

DCPA Sydney Simkowitz Award

Pharmacists Mutual Co Distinguished Young Pharmacist Award

Academy of Pharmacy Practice Practitioner Merit Award

The Jean Lamberti Mentorship Award

IPA Roman Maximo Corrons Inspiration amp Motivation Award

Innovative Pharmacy Practice Award

Technician of the Year Award

NOMINATED BY

Name

Date Submitted

Signature

Please describe briefly below the nominees accomplishments indicating why you feel he or she should receive this award (Attach additional sheets if necessary)

C a L L f O r N O m i N a T i O N s F P A A W A R D S 2 0 0 9 - 2 0 1 0

F P A A W A R D S N O M I N A T I O N F O R M

mail nominatons to annual awards Florida Pharmacy association 610 n adams st tallahassee Fl 32301(850) 222-2400 FaX (850) 561-6758 dEadlinE For nominations is FEBrUary 28 2010

26 | f L O r i d a p h a r m a C y T O d a y

CALL FOR RESOLUTIONS TO THE 2010 HOUSE OF DELEGATES

The House of Delegates Board of Directors will meet in March 2010 to review and approve resolu-tions for the Annual Meeting The deadline for submitting resolutions is March 15 2010 PleAse noTe THIs DeADlIne

The following information will be needed when submitting resolutions

1 name of organization The name of the organization submitting the resolutions(s)2 name and telephone number of individuals A contact in the event clarification or further in-

formation is needed 3 Problem A statement of the problem addressed by the resolution4 Intent A statement of what passage of the resolution will accomplish5 Resolution Format (please type and use double spacing)

TiTle of ResoluTion

name of oRganizaTion

WheReas and

WheReas

TheRefoRe be iT

Resolved (ThaT The fPa oR subdivision of fPa)

ConTaCT name and Phone

PRoblem

inTenT

Page 6: October 2009 Florida Pharmacy Journal

6 | f L O r i d a p h a r m a C y T O d a y

The Florida Pharmacy Association gratefully acknowledges the hard work and dedication of the following members of the FPA leadership who work deligently all year long on behalf of our members

Norman Tomaka Chairman of the Board of DirectorsKaren Whalen FPA PresidentDon Bergemann TreasurerAlexander Pytlarz Speaker of the House of DelegatesDean William Riffee Vice Speaker of the House of DelegatesAlexander Pytlarz Speaker Elect Preston McDonald Director Region 1Marcus Dodd-o Director Region 2Al Tower Director Region 3 Raul N Correa Interim Director Region 4 John Noriega Director Region 5 Chris Lent Director Region 6Kim Murray Director Region 7Joy Marcus DirectorRegion 8Ayala Fishel Director Region 9Peter Iafrate President FSHPMichael Jackson Executive Vice President and CEO

Florida Pharmacy Today Journal Board

Chair Designate Betty Harris beejpharmgmailcomTreasurer Stephen Grabowski sgrabowskiseniormmccomSecretary Stuart Ulrich StuarxaolcomMember Joseph Koptowsky docjik1215aolcomMember Jennifer Pytlarz jlc_rxdochotmailcomExecutive Editor Michael Jackson mjacksonpharmviewcomManaging Editor Dave Fiore davefiorecommunicationscom

20092010 FPA Board of Directors tored When requested by the uni-versities we will support them on this issue

Seeking Grassroots AdvocatesWho makes the decisions that will

affect our profession Yes the legisla-tors would be one answer but the best answer is YoU

Have you heard that if you do not stand up and speak for pharmacy that you are leaving the decisions to our leg-islators Do you know your state legis-lators Have you spoken to yours It is important that they know who you are and what you stand for successful leg-islative efforts require a lot of work spe-cifically networking We are asking all pharmacists to join those already work-ing on your behalf

Getting Started1 send an email and then call your

state legislator to introduce yourself and show your passion for pharma-cy

2 set an appointment to meet your legislator face-to-face in their home office before December

3 Know the key pharmacy issues so we can present a unified voice

4 Join us and meet your legislator in Tallahassee next March during Flor-ida Pharmacist legislative Days

If you donrsquot know who your rep-resentative is find out by going to the FPA Web site (wwwpharmviewcom) and click on the Advocacy tab to find the link to ldquoWho Are My Florida state legislatorsrdquo

our grassroots effort is how you can make a difference If not you then who is going to educate our represen-tatives If you currently provide a leg-islator or their family with pharmacy services you are in a unique position to foster good will and educate them about what pharmacists can do lever-age what you know by talking to them about their drug therapy and present-ing MTM as a meaningful way to help control health care costs You have a powerful story to tell We hope you will take action and help move the profes-

See Viewpoint continued on page 22

O C T O B e r 2 0 0 9 | 7

Executive InsightBY MICHAEL JACKSON RPH

What is the Value of Professional organizations

These days we are all going to have to watch our spending hab-its and scrutinize which bills get

paid which bills get delayed and which bills we leave in decay While the nation and our state struggle to right them-selves during these challenging eco-nomic times it is no wonder that par-ticipation in membership organizations rise to the top of the scrutiny list

our personal budgets become a list of needs with the number of wants de-clining dramatically Food and shelter are essential expenditures that are not included in the disposable income bud-gets This is followed by transportation communication health care insurance education and training Disposable in-come generally has been used for such things as entertainment vacation gifts and charitable contributions It is with-in this part of our personal budgets that we allocate funds to support our pro-fessional associations and societies

Why sign up for membership in an organization While we each may have our own reasons some of the more ob-vious direct benefits include discounts on offered continuing-education pro-grams general assistance with regula-tory issues and discounts on services provided by the associationrsquos member benefits partners such as car rentals hotel stays and telecommunication ser-vices There also are benefits such as competitive rates on workers compen-sation insurance complimentary access to FPArsquos web based law and regulato-ry information resource and discounts on our controlled substance inventory booklet There also are benefits from re-ceiving breaking information on regu-latory and legislative changes to critical pharmacy rules and laws from news-

letters and the Associationrsquos monthly journal

The FPA has a member retention program called the 1 Club This orga-nization within the FPA is designed for members who believe so much in the Florida Pharmacy Associationrsquos mis-

sion and vision that they are willing to reach out to others to encourage their joining our organization There is a di-rect benefit here in that those members who actively recruit 10 regular mem-bers into the FPA receive a complimen-tary registration at the annual meeting a sporty red blazer and a plaque with recognition for their commitment In addition complimentary registration is awarded for the continued participation each year as an active 1 Club member through the recruitment of three new regular members during each conven-tion year

This is all great information how-ever there are other reasons to support your professional organizations that may not necessarily fall into direct ben-efit categories over the years the ca-reers of pharmacists have blossomed into areas that produced significant personal financial growth Part of this has been through the demand for phar-macist dispensing services the build-ing of many venues requiring licensed pharmacists and the development and advertising of new prescription drugs

This demand for pharmacists though moderating in recent years has created a number of new career options for currently practicing pharmacists as well as for new pharmacy candidates enrolled in our five colleges and uni-versities here in Florida We hope that our members are aware that this pro-fession was advocated for by the Flor-ida Pharmacy Association through the creation of the Board of Pharmacy The purpose was to ensure that only those who qualify should be allowed to prac-tice this profession The intent was also

[The 1 Club] within the FPA is designed for members who believe

so much in the Florida Pharmacy Associationrsquos

mission and vision that they are willing to reach out to others to

encourage their joining our organization

BY MICHAEL JACKSON FPA ExECUTIvE vICE PRESIDENTCEO

Michael Jackson BPharm

8 | f L O r i d a p h a r m a C y T O d a y

Executive Vice PresidentCEOMichael Jackson

(850) 222-2400 ext 200Director of Continuing Education

Tian Merren-Owens ext 120Controller

Wanda Hall ext 211Membership CoordinatorRanada Simmons ext 110

Educational Services Office AssistantStacey Brooks ext 210

FLORIDA PHARMACY TODAY BOARDChair Designate Betty Harris Lighthouse Point Treasurer Stephen Grabowski TampaSecretary Stuart Ulrich Boynton BeachMember Joseph Koptowsky MiamiMember Jennifer Pytlarz BrandonExecutive Editor Michael Jackson TallahasseeManaging Editor Dave Fiore Tallahassee

This is a peer reviewed publication copy2009 FLORIDA PHARMACY JOURNAL INCARTICLE ACCEPTANCE The Florida Phar-macy Today is a publication that welcomes articles that have a direct pertinence to the current practice of pharmacy All articles are subject to review by the Publication Review Committee editors and other outside referees Submitted articles are received with the understanding that they are not being considered by another publication All articles become the property of the Florida Pharmacy Today and may not be published without written permission from both the author and the Florida Pharmacy Today The Florida Pharmacy Association assumes no responsibility for the statements and opinions made by the authors to the Florida Pharmacy Today

The Journal of the Florida Pharmacy Association does not accept for publication articles or letters concerning religion politics or any other subject the editorspublishers deem unsuitable for the readership of this journal In addition The Journal does not accept advertising material from persons who are running for office in the association The editors reserve the right to edit all materials submitted for publication Letters and materials submitted for consideration for publication may be subject to review by the Editorial Review Board

FLORIDA PHARMACY TODAY Annual sub-scription - United States and foreign Indi-vidual $36 Institution $70year $500 single copies Florida residents add 7 sales tax

Florida Pharmacy association

610 N Adams St bull Tallahassee FL 32301850222-2400 bull FAX 850561-6758

Web Address httpwwwpharmviewcom

FPA STAFF

Over half of your dues go into the funding of our advocacy program

to advocate for consumer confidence in the services that we provide and that our profession has individuals with the skills and knowledge to resolve pa-tient medication issues without causing harm

Keep in mind that other benefits in-clude the vast networking opportu-nities to gain knowledge from others within our organization who have de-veloped innovative practices or who have resolved a health care service re-

lated issue While we can learn much from what is published in the phar-macy press there is a wealth of knowl-edge from peer dialog at conferences and leadership meetings

organizations also share informa-tion of interest and value with their members The value of information in todayrsquos competitive world is truly un-derestimated I know of pharmacists who received lucrative promotions from their employer simply because they had information provided to them by their organizations or that no one else had It is no secret that many orga-nizations such as the FPA have active members who have the ability to make decisions whether a pharmacist candi-date has the necessary skills training and commitment to their profession in todayrsquos competitive hiring market

Having been a former district man-ager with responsibility over 58 pre-scription departments in three states I can tell you from experience that I looked carefully at applicants who could demonstrate to me their involve-ment in their growth and development beyond standard classroom internship training and work experience Those who were actively involved in their professional organizations and had the experience of networking and com-municating with consumers and oth-er health care practitioners with ease

generally were at a competitive advan-tage over a pharmacist candidate who could only produce a great transcript and time behind the workbench

Finally simply reporting legislative or regulatory changes to the practice act are not the sole task of professional organizations They also invest a con-siderable amount of resources into ad-vocating for change or revisions to the laws and rules that affect how you pro-vide services to patients as well as de-

fending against policy making that creates professional barriers In many cases the practice evolves beyond state and federal regulations Your profes-sional organizations work to facilitate the change necessary to make sure that the laws are sensible and relevant in to-dayrsquos modern pharmacy practice envi-ronment Then we must be a resource to you to help integrate these changes so that you do not fall out of compli-ance

A portion of our membership will be receiving renewal notices for the January billing cycle We hope that you have found some of the information in this article beneficial and encour-aging enough to invest in your pro-fession over half of your dues go into the funding of our advocacy program The dues paid by our regular members are barely equal to the cost associat-ed with drinking two bottled waters a week We hope that the information in this article encourages you to continue your support for our profession and al-low your dues to be an essential expen-diture Please consider it an investment in your future n

O C T O B e r 2 0 0 9 | 9

The concrete bricks are 4x8 and can be engraved with up to 14 characters per line three lines available spaces and punctuation count as one character Please fi nd enclosed my check for $_________ for _________ bricks

PLEASE PRINT Please charge my Master Card Visa

CARD EXP DATE

AUTHORIZED SIGNATURE

NAME

ADDRESS

CITY STATE ZIP

PHONE (W) (H)

O R D E R F O R M

Send to Florida Pharmacy Foundation 610 N Adams St Tallahassee FL 32301or fax to (850) 561-6758

Contributions to the Florida Pharmacy Foundation are tax deductible as a charitable contribution for federal income tax purposes Consult your CPA for complete details Fed Emp ID 59-2190074

A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE 1-800-435-7352 WITHIN THE STATE REGISTRATION DOES NOT IMPLY ENDORSEMENT APPROVAL OR RECOMMENDATION BY THE STATE

The Walkway of Recognition

YES I want to order _______ concrete bricks at $25000 each (Please copy form for additional inscriptions)

Have you been searching for just the right gift or thought of placing your name in perpetuity If so then consider purchasing an engraved brick for you or someone else

The main sidewalk at the Florida Pharmacy Association needs replacing The Florida Pharmacy Foundation has undertaken the project to repair and beautify the sidewalk with engraved personal bricks purchased by pharmacists or friends of pharmacy

Engraved 4x8 bricks can be purchased for $25000 each with the donorrsquos name engraved (3 lines available) or you could also purchase an engraved brick for someone you feel should be honored or remembered

The monies earned from this project will be used to fulfi ll the goals and future of the Foundation There are a limited number of bricks available ndash so it is fi rst come fi rst served

PLEASE PRINT INSCRIPTION

THE WALKWAY OF RECOGNITION

YOUR NAME HERE

FPA OFFICE

FoundationAdBrickesindd 1 122308 94448 PM

10 | f L O r i d a p h a r m a C y T O d a y

Visits to doctor n s for influenza-like illness (IlI) continued to increase in the United states and overall are higher than levels expected for this time of the year Total influenza n hospitalization rates for laboratory-con-firmed influenza are higher than expected for this time of year for adults and children And for children 5-17 and adults 18-49 years of age hospitalization rates from April ndash october 2009 exceed average flu season rates (for octo-ber through April) The proportion of n deaths attributed to pneumonia and in-fluenza (PampI) based on the 122 Cities Report has increased and now exceeds what is normally expected at this time of year In addition 19 flu-related pediatric deaths were reported this week 16 of these deaths were confirmed 2009 H1n1 and 3 were unsubtyped influenza A and like-ly to be 2009 H1n1 A total of 76 laboratory confirmed 2009 H1n1 pediatric deaths have been reported to CDC since April Thirty-seven states are reporting n widespread influen-za activity at this time They are Alabama Alaska Ari-zona Arkansas California Colorado Delaware Florida Georgia Idaho Illinois Indiana Iowa Kansas Kentucky louisiana Maryland Minnesota Mississippi Missouri nebraska nevada new Hampshire new Mexico new York north Carolina ohio oklahoma oregon Penn-sylvania south Carolina south Dakota Texas Tennes-see Virginia Washington and Wyoming Any reports of widespread influenza activity in september and october are very unusual Almost all of the influenza n viruses identified so far are 2009 H1n1 influenza A viruses These viruses remain similar to the virus chosen for the 2009 H1n1 vaccine and remain susceptible to the antiviral drugs oseltamivir and zanamivir with rare exception CDC Guidance for Businesses and Employers To Plan and Respond to the

2009ndash2010 Influenza Season

IntroductionThe Us Department of Health and Human servicesrsquo

(HHs) Centers for Disease Control and Prevention (CDC) with input from the Us Department of Homeland security (DHs) has developed updated guidance for employers of all sizes to use as they develop or review and update plans to re-

spond to 2009 H1n1 influenza now and during the upcom-ing fall and winter influenza season Businesses and employ-ers in general play a key role in protecting employeesrsquo health and safety as well as in limiting the negative impact of in-fluenza outbreaks on the individual the community and the nationrsquos economy employers who have developed pandemic plans should review and revise their plans in light of the cur-rent 2009 H1n1 influenza outbreak to take into account the extent and severity of disease in their community as outlined in this guidance2

Planning for Fall and Winter Influenza SeasonBusinesses may have already been impacted by the spring

and summer outbreaks of 2009 H1n1 influenza affecting their employees CDC anticipates that more communities may be affected than were in the springsummer 2009 andor more severely affected reflecting wider transmission and possibly greater impact In addition seasonal influenza viruses may cause illness at the same time as 2009 H1n1 this fall and win-ter In response to the anticipated spread of 2009 H1n1 in-fluenza the CDC has revised its recommendations to assist businesses and other employers of all sizes

The severity of illness that 2009 H1n1 influenza flu will cause (including hospitalizations and deaths) or the amount of illness that may occur as a result of seasonal influenza dur-ing the 2009ndash2010 influenza season cannot be predicted with a high degree of certainty Therefore employers should plan to be able to respond in a flexible way to varying levels of severity and be prepared to refine their pandemic influenza response plans if a potentially more serious outbreak of in-fluenza evolves during the fall and winter More people and communities are likely to be affected as influenza is more widely transmitted The CDC and its partners will continu-ously monitor national and international data on the severity of illness caused by influenza will disseminate the results of these ongoing surveillance assessments and will make addi-tional recommendations as needed

Considerations of Appropriate Response Strategies

All employers must balance a variety of objectives when determining how best to decrease the spread of influenza and lower the impact of influenza in the workplace They should

2009 H1N1 Flu Situation UpdateKey Flu Indicatorseach week CDC analyzes information about influenza disease activity in the United states and publishes findings of key flu indicators in a report called FluView During the week of september 27 - october 3 2009 a review of the key indictors found that influenza activity increased in the United states Below is a summary of the most recent key indicators

O C T O B e r 2 0 0 9 | 11

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consider and communicate their objectives which may in-clude one or more of the following (a) reducing transmis-sion among staff (b) protecting people who are at increased risk of influenza related complications from getting infected with influenza (c) maintaining business operations and (d) minimizing adverse effects on other entities in their supply chains

employers should expect to see a wide range of disease patterns across the country employers should base their strategies and response to influenza outbreaks on local infor-mation from local and state public health authorities some of the key indicators that should be used when making deci-sions on appropriate responses are

Disease severity (ie hospitalization and death rates) in n

the community where business is locatedextent of disease (number of people who are sick) in the n

communityAmount of worker absenteeism in your business or orga- n

nizationImpact of disease on workforce populations that are vul- n

nerable and at higher risk (eg pregnant women employ-ees with certain chronic medical conditions that put them at increased risk for complications of influenza) andother factors that may affect employeesrsquo ability to get to n

work such as school dismissals or closures due to high levels of illness in children or school dismissalsemployers need to plan now to be able to obtain updated

information on these indicators from state and local health departments in each community where they have a business presence and to respond quickly to the changing reality on the ground employers with more than one business location are encouraged to provide local managers with the authori-ty to take appropriate actions outlined in their business pan-demic plan based on the condition in each locality

Preparedness and Response Recommendations

PLANNING FOR 2009 H1N1 AND THE 2009ndash2010 INFLUENzA SEASON

This guidance is designed to help employers plan for and respond to two possible conditions 1) a continuation of the current level of severity of influenza as was observed during the spring and summer of 2009 and 2) a more severe outbreak The first situation is what is being experienced in some com-munities nowmdashan outbreak of similar severity of 2009 H1n1 to the spring However even if the severity of the virus does not change planners should expect that there will be more people who are ill in the fall and winter as 2009 H1n1 out-breaks coincide with the seasonal influenza season and this level of absenteeism may impact business operations A sec-ond situation involves an outbreak of greater severity includ-ing more people with severe illness and thus more people hospitalized for influenza complications more deaths from influenza and a probable escalation of absenteeism

12 | f L O r i d a p h a r m a C y T O d a y

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Businesses should have an understanding of their normal seasonal absenteeism rates and know how to monitor their personnel for any unusual increases in absenteeism through the fall and winter Business continuity planners should as-sess their essential business functions now to determine at what threshold of absenteeism those functions would be threatened if absenteeism escalates Planners can then pre-pare to take more aggressive measures to protect continuity as absenteeism escalates towards those thresholds

even employers in communities that have not yet felt ef-fects from 2009 H1n1 influenza should plan for an influen-za outbreak this fall and winter and be ready to implement strategies to protect their workforce while ensuring continuity of operations During an influenza pandemic all sick people should stay home and away from the workplace hand wash-ing and covering coughs and sneezes should be encouraged and routine cleaning of commonly touched surfaces should be performed regularly If the severity of illness increases employers should be ready to implement additional measures while continuing to rigorously implement the interventions recommended for an outbreak similar to the springsummer 2009 H1n1 outbreak If severity increases public health offi-cials may recommend a variety of methods for increasing the physical distance between people (called social distancing) to reduce the spread of disease such as school dismissal child care program closure canceling large community gatherings canceling large business-related meetings spacing workers farther apart in the workplace canceling non-essential travel

and recommending work-from-home strategies for workers that can conduct their business remotely

Please remember employers should develop capabilities to respond to both scenarios and these two conditions serve only as a planning framework Businesses and other employ-ers should develop flexible capabilities to respond to either situation given the difficulties in accurately predicting the ex-tent and severity of 2009 H1n1 as it unfolds during the 2009ndash2010 influenza season Individual businesses may implement additional actions if they experience high absenteeism or business continuity is compromised In addition employers should be aware that other emergencies such as hurricanes or other natural disasters may happen during the fall and win-ter creating additional challenging problems for businesses and communities

WORk WITH STATE AND LOCAL PUBLIC HEALTH PARTNERS

Coordination with state and local health officials is strong-ly encouraged for all businesses so that timely and accurate information can guide appropriate responses in each location where their operations reside since the intensity of an out-break may differ according to geographic location local pub-lic health officials will be issuing guidance specific to their communities Also businesses could work with public health and community leaders to explore ways of improving accessi-bility of vaccination for the workforce and in the community

kEEP SICk WORkERS HOME

one of the best way to reduce the spread of influenza is to keep sick people away from well people However in the fall and winter it will not be possible to quickly determine if workers who are ill have 2009 H1n1 seasonal influenza or any number of other different conditions based on symptoms alone local and state health department surveillance infor-mation can be helpful to know when influenza is circulating in the community although the availability timeliness and amount of local information on when influenza is circulating may vary substantially from community to community

Workers who have symptoms of influenza-like illness3 are recommended to stay home and not come to work until at least 24 hours after their fever has resolved4 Regardless of the size of the business or the function or services that you pro-vide all employers should plan now to allow and encourage sick workers to stay home without fear of losing their jobs CDC recommends this strategy for all levels of severity em-ployers should plan now for how they will operate if there is significant absenteeism from sick workers However employ-ers should know that some persons with influenza including those ill with 2009 H1n1 do not have fever Therefore it will not be possible to exclude everyone who is ill with influenza from the workplace

BE PREPARED IF SCHOOLS DISMISS STUDENTS OR CHILD CARE PROGRAMS CLOSE

In some communities schools may dismiss students and childcare programs may close particularly if the severity in-

O C T O B e r 2 0 0 9 | 13

creases5 officials will make these decisions to protect pub-lic health but they will affect your businessrsquos functioning es-pecially affecting absenteeism Plan now to determine how you will operate if absenteeism spikes from increases in sick workers those who stay home to care for ill family members and those who must stay home to watch their children if dis-missed from school Businesses and other employers should prepare to institute flexible workplace and leave policies for these workers

Actions Employers Should Take NowReview or establish a flexible influenza pandemic plan n

and involve your employees in developing and reviewing your planConduct a focused discussion or exercise using your plan n

to find out ahead of time whether the plan has gaps or problems that need to be corrected before flu seasonHave an understanding of your organizationrsquos normal n

seasonal absenteeism rates and know how to monitor your personnel for any unusual increases in absenteeism through the fall and winterengage state and local health department to confirm n

channels of communication and methods for dissemina-tion of local outbreak informationAllow sick workers to stay home without fear of losing n

their jobsDevelop other flexible leave policies to allow workers to n

stay home to care for sick family members or for children if schools dismiss students or child care programs closeshare your influenza pandemic plan with employees and n

explain what human resources policies workplace and leave flexibilities and pay and benefits will be available to themshare best practices with other businesses in your com- n

munities (especially those in your supply chain) cham-bers of commerce and associations to improve communi-ty response efforts andAdd a ldquowidgetrdquo or ldquobuttonrdquo to your company Web page n

or employee Web sites so employees can access the lat-est information on influenza wwwcdcgovwidgets and wwwcdcgovsocialMediaCampaignsH1n1buttonshtml

Important Components of an Influenza Pandemic Plan

Be prepared to implement multiple measures to protect n

workers and ensure business continuity A layered ap-proach will likely work better than using just one mea-sureIdentify possible work-related exposure and health risks n

to your employees The occupational safety and Health Administration (osHA) has developed tools to determine if your employees are at risk of work-related exposures and if so how to respond (see wwwoshagovdsgtopics

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14 | f L O r i d a p h a r m a C y T O d a y

City of Tallahassee Declares October as American Pharmacists Month

Tallahassee Mayor John Marks has declared october as American Pharmacist Month In a procla-mation signed on october 1 2009 Mayor Marks urged all citizens to acknowledge the valuable servic-es of pharmacists to provide safe affordable and beneficial pharma-ceutical care services and prod-ucts to all citizens

The Florida Pharmacy Associa-tion wish to thank our FAMU in-tern Carina Davison for her work with the City of Tallahassee dur-ing her rotation here at the FPA of-fice

FROM THE GOVERNING BODY OFTHE CITY OF TALLAHASSEE

PROCLAMATIONWhereas pharmacy is one of the oldest of the health professions con-cerned with the health and well-being of all people andWhereas today there are over 254000 pharmacists practicing in the United States and over 400 pharmacists licensed in the city of Tallahassee providing services to assure the rational and safe use of all medications andWhereas the use of medication as a cost-effective alternative to more expensive medical procedures is becoming a major force in moderating overall health care costs andWhereas todays powerful medications require greater attention to the manner in which they are used by different patient population groups -both clinically and demographically andWhereas it is important that all users of prescription and nonprescrip-tion medications or their caregivers be knowledgeable about and share responsibility for their own drug therapy andWhereas the American Pharmacists Association and the Florida Phar-macy Association have declared October as American Pharmacists Month with the theme Know Your Medicines - Know Your Pharmacist

Now therefore be it resolved that I John Marks do hereby proclaim October as

American Pharmacists Month

in the city of Tallahassee and urge all our citizens to acknowledge the valuable services of pharmacists to provide safe affordable and beneficial pharmaceutical care services and products to all citizens

O C T O B e r 2 0 0 9 | 15

pandemicfluindexhtml)Review human resources policies to make sure that poli- n

cies and practices are consistent with public health rec-ommendations and are consistent with existing state and federal workplace laws (for more information on employ-er responsibilities employers should visit the Department of laborrsquos and the equal employment opportunity Com-missionrsquos websites at wwwdolgov and wwweeocgov)Allow employees to stay home if they are ill have to care n

for ill family members or must watch their children if schools or childcare facilities closeexplore whether you can establish policies and practices n

such as flexible worksites (eg telecommuting) and flex-ible work hours (eg staggered shifts) when possible to increased the physical distance among employees and be-tween employees and others if local public health author-ities recommend the use of social distancing strategies ensure that you have the information technology and in-frastructure needed to support multiple workers who may be able to work from homeIdentify essential business functions essential jobs or n

roles and critical elements within your supply chains (eg raw materials suppliers subcontractor servicesproducts and logistics) required to maintain business op-erations Plan for how your business will operate if there is increasing absenteeism or these supply chains are inter-ruptedset up authorities triggers and procedures for activat- n

ing and terminating the companyrsquos response plan alter-ing business operations (eg possibly changing or closing operations in affected areas) and transferring business knowledge to key employees Work closely with your lo-cal health officials to identify these triggersPlan to minimize exposure to fellow employees or the n

public if public health officials call for social distancingestablish a process to communicate information to work- n

ers and business partners on your 2009 H1n1 influenza response plans and latest 2009 H1n1 influenza informa-tion Anticipate employee fear anxiety rumors and mis-information and plan communications accordingly

over the past several years HHs CDC DHs osHA eeoC and other federal partners have developed guidelines including checklists to assist businesses industries and oth-er employers in planning for a pandemic outbreak Review these resources to assist in your planning efforts wwwflugovplanworkplaceplanningindexhtml

The recommendations that follow provide guidance on how employers can develop strategies and respond to two levels of severity local conditions will influence the deci-sions that public health officials make regarding community-level strategies employers should take the time now to learn about plans in place in each community where they have a presence

Recommended Employer Responses for the 2009-2010 Flu SeasonRecommended Action Steps under Current Flu Conditions (similar severity as in SpringSummer 2009)

If the severity of illness in the fall and winter is similar to that observed in the spring and summer of 2009 the effects of 2009 H1n1 influenza may not have substantial impacts on absenteeism though some increase in absenteeism over the spring season is anticipated When larger numbers of people become ill correspondingly larger numbers of people will be-come seriously ill and may require hospitalization

SICK PERSONS SHOuLD STAY HOMEAdvise workers to be alert to any signs of fever and any n

other signs of influenza-like illness6 before reporting to work each day and notify their supervisor and stay home if they are ill employees who are ill should not travel while they are illCDC recommends that employees with influenza-like ill- n

ness remain at home until at least 24 hours after they are free of fever (100deg F [378deg C] or greater) or signs of a fever without the use of fever-reducing medicationsexpect sick employees to be out for about 3 to 5 days in n

most cases even if antiviral medications are usedensure that your sick leave policies are flexible and con- n

sistent with public health guidance and that employees are well aware of these policiesTalk with companies that provide your company with n

contract or temporary workers about the importance of sick workers staying home and encourage them to devel-op non-punitive leave policiesDo not require a doctorrsquos note for workers who are ill with n

influenza-like illness to validate their illness or to return to work as doctorrsquos offices and medical facilities may be extremely busy and may not be able to provide such doc-umentation in a timely way employees who are well but who have an ill family mem- n

ber at home with influenza can go to work as usual How-ever these employees should monitor their health every day and notify their supervisor and stay home if they be-come ill employers should maintain flexible policies that permit employees to stay home to care for an ill family member employers should be aware that more workers may need to stay at home to care for ill children or other ill family members than is usual

SICK EMPLOYEES AT WORK SHOuLD BE ASKED TO gO HOME

CDC recommends that workers who appear to have an n

influenza-like illness upon arrival or become ill during the day be promptly separated from other workers and be advised to go home until at least 24 hours after they are free of fever (100deg F [378deg C] or greater) or signs of a fever without the use of fever-reducing medications Those who become ill with symptoms of an influenza-like n

illness during the work day should be

16 | f L O r i d a p h a r m a C y T O d a y

o separated from other workers and asked to go home promptly (For recommendations on personal protec-tive equipment for a person assisting the ill employee see Interim Recommendations for Facemask and Res-pirator Use to Reduce novel Influenza A (H1n1) Vi-rus Transmission httpwwwcdcgovh1n1flumaskshtm)

o When possible and if they can tolerate it workers with influenza-like illness should be given a surgical mask to wear before they go home if they cannot be placed in an area away from others

If an employee becomes ill at work inform fellow employ- n

ees of their possible exposure in the workplace to influen-za-like illness but maintain confidentiality as required by the Americans with Disabilities Act (ADA) For more in-formation on privacy issues please refer to httpwwwflugovfaqworkplace_questionsequal_employmentin-dexhtmlPrivacyIssues employees exposed to a sick co-worker should monitor themselves for symptoms of influ-enza-like illness and stay home if they are sick

COVER COugHS AND SNEEzESInfluenza viruses are thought to spread mainly from per- n

son to person in respiratory droplets of coughs and sneez-es Provide employee messages on the importance of cov-ering coughs and sneezes with a tissue or in the absence of a tissue onersquos sleeve Place posters in the worksite that encourages cough and sneeze etiquetteProvide tissues and no-touch disposal receptacles for use n

by employees

IMPROVE HAND HYgIENEInfluenza may be spread via contaminated hands In- n

struct employees to wash their hands often with soap and water or use an alcohol-based hand cleaner especially af-ter coughing or sneezing Place posters in the worksite that encourage hand hygieneProvide soap and water and alcohol-based hand sanitiz- n

ers in the workplace ensure that adequate supplies are maintained If feasible place hand sanitizers in multiple locations or in conference rooms to encourage hand hy-giene

CLEAN SuRFACES AND ITEMS THAT ARE MORE LIKELY TO HAVE FREquENT HAND CONTACT

Frequently clean all commonly touched surfaces in the n

workplace such as workstations countertops and door-knobs Use the cleaning agents that are usually used in these areas and follow the directions on the labelno additional disinfection beyond routine cleaning is rec- n

ommendedENCOuRAgE EMPLOYEES TO gET VACCINATED

encourage your employees to get vaccinated for seasonal n

influenza For information on groups prioritized for sea-sonal influenza vaccines please see httpwwwcdcgovfluprotectkeyfactshtm encourage your employees also to get vaccinated for 2009 n

H1n1 influenza when vaccines are available to them Dif-ferent groups are prioritized for 2009 H1n1 influenza than for seasonal influenza For information on groups prioritized for H1n1 influenza vaccine please see httpwwwcdcgovh1n1fluvaccinationaciphtm offer opportunities at your worksite for influenza vacci- n

nation Consider granting employees time off from work to get vaccinated if not offered at the worksiteReview the health benefits you offer employees and work n

with insurers to explore if they can cover the costs of in-fluenza vaccination

TAKE MEASuRES TO PROTECT EMPLOYEES WHO ARE AT HIgHER RISK FOR COMPLICATIONS OF INFLuENzA

People at higher risk for complications from influenza in- n

clude pregnant women children under 5 years of age adults and children who have chronic lung disease (such as asthma) heart disease diabetes diseases that suppress the immune system and other chronic medical conditions and those who are 65 years or older7 Inform employees that some people are at higher risk of n

complications from influenza and that if they are at high-er risk for complications they should check with their health care provider if they become ill early treatment with antiviral medications is very important for people at high risk because it can prevent hospitalizations and deathsencourage employees recommended for seasonal influ- n

enza vaccine and 2009 H1n1 vaccines to get vaccinated as soon as these vaccines are available For information on groups prioritized for seasonal and H1n1 vaccines please see httpwwwcdcgovfluprotectkeyfactshtm and httpwwwcdcgovh1n1fluvaccinationaciphtmemployees who become ill and are at increased risk of n

complications from influenza and ill employees who are concerned about their illness should call their health care provider for advice Their health care provider might want them to take antiviral medications to reduce the likelihood of severe complications from the influenzasee n httpwwwcdcgovh1n1fluqahtm for more infor-mation

PREPARE FOR INCREASED NuMBERS OF EMPLOYEE ABSENCES DuE TO ILLNESS IN EMPLOYEES AND THEIR FAMILY MEMBERS AND PLAN WAYS FOR ESSENTIAL BuSINESS FuNCTIONS TO CONTINuE

employers should plan to monitor and respond to ab- n

senteeism at the workplace Implement plans to contin-ue your essential functions in case you experience high-er than usual absenteeism elevated absentee rates can be due to sick workers those who need to stay home and care for others or from workers with conditions that make them at higher risk for complications from influen-za and who may be worried about coming to work Cross-train personnel to perform essential functions so n

that the workplace is able to operate even if key staff are absent

O C T O B e r 2 0 0 9 | 17

Assess your essential functions and the reliance that oth- n

ers and the community have on your services or products Be prepared to change your business practices if need-ed to maintain critical operations (eg identify alternative suppliers prioritize customers or temporarily suspend some of your operations if needed)

ADVISE EMPLOYEES BEFORE TRAVELINg TO TAKE CERTAIN STEPS

Advise workers to check themselves for fever and any n

other signs of influenza-like illness before starting travel and notify their supervisor and stay home if they are illAdvise employees who will be traveling or on temporary n

assignment about precautions they may need to take to protect their health and who to call if they become illemployees who become ill while traveling and are at in- n

creased risk of complications from influenza and oth-ers concerned about their illness should promptly call a health care provider for adviceensure employees who become ill while traveling or on n

temporary assignment understand that they should noti-fy their supervisor If outside the United states ill employees should fol- n

low your companyrsquos policy for obtaining medical care or contact a health care provider or overseas medical assis-tance company to assist them with finding an appropriate health care provider in that country if needed A Us con-sular officer can help locate health care services However Us embassies consulates and military facilities do not have the legal authority capability and resources to evac-uate or give medications vaccines or medical care to pri-vate Us citizens overseassee CDCrsquos Travel Website ( n httpwwwncdcgovtrav-elcontentnovel-h1n1-fluaspx) for more information for travelers

PREPARE FOR THE POSSIBILITY OF SCHOOL DISMISSAL OR TEMPORARY CLOSuRE OF CHILD CARE PROgRAMS

Although school dismissals or closures of child care pro- n

grams are not likely to be generally recommended at this level of severity they are possible in some jurisdictions Be prepared to allow workers to stay home to care for n

children if schools are dismissed or child care programs are closed strongly recommend that parents not bring their children n

with them to work while schools are dismissedensure that your leave policies are flexible and non-puni- n

tive Cross-train employees to cover essential functions n

Read CDCrsquos Guidance for state and local Public Health n

officials and school Administrators for school (K-12) Re-sponses which can be found at httpwwwcdcgovh1n-1fluschoolsschoolguidancehtm to better understand the conditions under which schools may be dismissed

Under Conditions with Increased Severity Compared to SpringSummer 2009

If 2009 H1n1 becomes more severe than during springsummer 2009 absenteeism will likely be far greater and ad-ditional protective measures to slow the spread of influenza may be considered Check with your local health department for the extent and severity of disease activity in your commu-nity and for recommendations for necessary measures Deci-sions about what tools should be used during a severe 2009 H1n1 outbreak should be based on the observed severity of the event its impact on specific subpopulations the need to protect workers the expected benefit of the interventions the feasibility of success of implementing these measures the di-rect and indirect costs of different interventions and the ef-fects on critical infrastructure health care delivery and soci-ety The following are measures that should be considered if influenza severity increases and are meant for use in addition to the measures outlined above

CONSIDER ACTIVE SCREENINg OF EMPLOYEES WHO REPORT TO WORK

If influenza severity increases at the beginning of the n

workday or with each new shift all employees should be asked about symptoms consistent with an influenza ill-ness8 such as fever or chills AnD cough or sore throat If the severity or the impact of influenza increases CDC rec-ommends that persons with an influenza-like illness not come to work or travel and remain at home for at least 7 days even if symptoms resolve sooner Individuals who are still sick 7 days after they become ill should continue to stay home until at least 24 hours after symptoms have resolved If influenza severity increases CDC recom-mends that people stay home at least 7 days whether or not antiviral medications are usedMake sure your sick leave policies are flexible and consis- n

tent with public health guidance and that your employ-ees are aware of these policies Do not require a doctorrsquos note for workers who are ill with n

influenzaContinue to advise workers to check for any signs of ill- n

ness before reporting to work each dayMake contingency plans for increased absenteeism n

caused by illness in workers or illness in workersrsquo family members that would require them to stay home Planning for absenteeism could include cross-training current em-ployees or hiring temporary workers

CONSIDER ALTERNATIVE WORK ENVIRONMENTS FOR EMPLOYEES AT HIgHER RISK FOR COMPLICATIONS OF INFLuENzA DuRINg PERIODS OF INCREASED INFLuENzA ACTIVITY IN THE COMMuNITY

employees with an underlying chronic medical condition n

or who are pregnant should consider calling their health care provider for advice about how to reduce their risk of exposure to influenza and if they get sick how best to get early treatment for influenzaIf influenza severity increases and if influenza transmis- n

sion is high in the community employers may want to evaluate their work environment to see how they can re-

18 | f L O r i d a p h a r m a C y T O d a y

duce the number of people that high-risk employees come in contact with such as exploring options for telecom-muting from home (if feasible) employers can also think about how workers at higher risk for influenza compli-cations could be reassigned to duties that have minimal contact with other employees clients or customers If these workers cannot be reassigned duties to reduce con-tact with others are concerned about their ability to avoid influenza at the workplace or will be in crowded condi-tions at work or while commuting to work then consider allowing employees at higher risk for influenza complica-tions to stay home from workCDC recommends that ill workers at higher risk of com- n

plications from influenza seek early treatment if they be-come illsee n httpwwwcdcgovh1n1fluqahtm for more infor-mation

CONSIDER INCREASINg SOCIAL DISTANCINg IN THE WORKPLACE

If influenza severity increases local public health offi- n

cials may recommend that employers implement mea-sures to increase the physical distance between people in the workplace to reduce the spread of influenza The goal should be for there to be at least 6 feet of distance between people at most times This is not a simple or easy strategy and would typically require considerable flexibility These measures may include avoiding crowded work settings canceling business-related face-to-face meetings spacing workers farther apart canceling non-essential travel in-creasing use of teleworking and using staggered shifts to allow fewer workers to be in the workplace at the same time9

If appropriate for your type of business and feasible re- n

view or develop policies for teleworking including an as-sessment of the capabilities and gaps of your current com-puter systems and availability of technical support Take remedial steps if needed and test your system in advance to assure it can handle an increase in remote usersRecommendations to increase social distancing may af- n

fect community functioning Because supply chain issues may be affected make sure you have plans for back-up suppliers

CONSIDER CANCELINg NON-ESSENTIAL BuSINESS TRAVEL AND ADVISINg EMPLOYEES ABOuT POSSIBLE DISRuPTIONS WHILE TRAVELINg OVERSEAS

If the severity of the outbreak worldwide increases in the n

fall or winter public health officials may recommend so-cial distancing strategies which include canceling non-es-sential travel and travel restrictions may be enacted by some countries which may limit the ability of employees to return home if they become ill while on travel statusIf influenza severity increases travelers should also be n

prepared for travel delays health screenings and other activities targeted towards travelers Provide information to travelers about contingency plans and how their travel

can be rebooked for these possible delays

PREPARE FOR SCHOOL DISMISSAL OR CLOSuRE OF CHILD CARE PROgRAMS

school dismissals and closure of child care programs are n

more likely at higher levels of severity Be prepared to allow workers to stay home to care for their children if schools are dismissed or child care programs are closed If dismissal is needed schools are being advised to dis-miss students for at least 5 to 7 calendar days or longer if necessary encourage employees who perform essential functions n

and who have children to plan for contingencies should local child care programs close or schools dismiss stu-dents Be prepared for prolonged absenteeism if schools dismiss n

students for an extended time Make sure your leave poli-cies are flexible and non-punitive employers should strongly recommend that parents not n

bring their children with them to work while schools are dismissedImplement flexible workplace policies like teleworking n

and staggered shifts Cross-train employees to cover essential functions n

Read CDCrsquos school guidance which can be found at n

httpwwwcdcgovh1n1fluschoolsschoolguidancehtm to better understand the conditions under which schools may be dismissed

OTHER CONSIDERATIONSAs part of their comprehensive pandemic planning n

some public and private sector employers have stock-piled or otherwise arranged for influenza antiviral drugs to be available for their employees during a pandemic To guide these efforts HHs released guidance to busi-nesses in 2008 entitled Considerations for Antiviral Drug Stockpiling by Employers in Preparation for an Influenza Pan-demic (httpwwwflugovvaccineantiviral_employershtml) see updated interim guidance on the use of antivi-ral agents for treatment and prophylaxis of 2009 H1n1 in-fluenza infection at httpwwwcdcgovh1n1flurecom-mendationshtmemployers should be aware that the severity of 2009 n

H1n1 influenza could change rapidly therefore local public health recommendations to communities and busi-nesses could be revised quickly Planners should identi-fy sources of timely and accurate information so they are aware of changes to recommendations and can promptly implement revised or additional measures recommended by local public health officials

O C T O B e r 2 0 0 9 | 19

The Florida Pharmacy Association 2009 ResolutionsPresented to the House of Delegates

It is an honor to serve as your 2009-2010 FPA speaker of the House of Delegates I have the privilege of follow-ing in the footsteps of some of FPArsquos most effective and prominent leaders and speakers including most recently suzanne Kelly

The House meeting held during the 2009 FPA An-nual Meeting in st Augustine was a lively and exciting meeting for our association If you missed the meeting or unaware of how the FPA House of Delegates serves itrsquos membership I strongly encourage you to contact myself directly or any of the FPA House of Delegates Board of Di-rectors Any one of us will be happy to get you involved and excited about this group and share with you how ev-ery resolution directly impacts the direction of the associ-ation and you its member

The FPA Board of Directors of the House of Delegates is made up of the following faithful memberssuzanne Kelly ndash Chair of the House of Delegates Board

of DirectorsAlexander Pytlarz ndash speaker of the House of DelegatesWilliam Riffee ndash Vice-speakershannon Zandy ndash DirectorCaridad Ferree ndash DirectorJosh Fields ndash Director Karen Whalen ndash FPA PresidentHumberto Martinez ndash FPA President-electMichael A Mone ndash ParliamentarianMichael A Jackson ndash FPA executive Vice President amp

Ceoon behalf of the House Board of Directors Irsquod like to

welcome the newest members of the House Board of Di-

rectors Dean William Riffee Vice-speaker and Caridad Ferree Director were elected at this years FPA Annual Meeting We look forward to their involvement

The House also had the privilege of introducing two new invited organizations to the House They are nige-rian Pharmacists Association and Florida Independent Pharmacy network

If any member represents an organization that wants to be involved in the House of Delegates please contact me directly I will be happy to work with you and your or-ganization so you are represented within the House and have your voice heard by all FPA members

At this past yearrsquos meeting the House reviewed eight submitted resolutions Below is a summary of the actions of the each resolution that the House took and to what committee the adopted resolutions were referred to by your President Karen Whalen Please review these reso-lutions as they will impact the policies and direction of our association If you have any comments or questions please feel free to contact me or any member of the House Board As always itrsquos never too early to start thinking about possible resolutions for next years House

Thank you for the opportunity to serve you and the Florida Pharmacy Association

Best regards

Alexander Pytlarz2009-2010 speaker of the House of Delegates

RESOLUTION 1

Pharmacy Manager in Charge Man-date rule changes for the State require to be on-site 24 hr perweekBroward County Pharmacist Associa-tion

Whereas There is no statutory or rule requirement for a Manager in Charge to be present in the Pharmacy

Whereas over the last few years in-ternet practices and non-pharmacist owned pharmacies have flourished in practice settings that were poorly su-pervised

Be it Resolved that the FPA propose that the Florida Pharmacy Board pro-mulgate rules which safeguard the public by having a Responsible par-ty (Pharmacy Manager of Record) on

premises 24 hrs per given week

Contact Broward County Pharmacist AssocDaniel P sweet RPhPast President Board Member954-232-8202

Intent To protect the public from non-pharmacist owners to influence the practice of pharmacy by placing a phar-

20 | f L O r i d a p h a r m a C y T O d a y

macist on record without reviewing the day to day operations of Pharmacy Practice and its Rules and statues

Resolution not Adopted

Respectfully submitted

Broward County Pharmacist Associa-tion

RESOLUTION 2

Repeal 40 hr Rule for Community Pharmacy PermitBroward County Pharmacist Associa-tion

Whereas the Practice of Pharmacy is evolving to an Information Profession where pharmacists will be reviewing medication therapy

Whereas in populated areas there are multiple pharmacies in a compact radi-us

Be it Resolved that the Florida Board of Pharmacy act in repealing the 40 hr rule for Community Pharmacy Permit withstanding that there is a pharmacy within 5 miles with extended hours or a 24 hr pharmacy within 2 miles

Contact Daniel P sweet RPhPast President Board Member Broward County Pharmacist Assoc954-232-8202

Intent With Pharmacy Practice evolv-ing with more Pharmacists are going to use there education to create office type practice The Pharmacist will need to be off-site to review medications and council patients on the use of their medication

Respectfully submittedBroward County Pharmacist Associa-tion

Motion to amendAmendment passedspeaker unable to determine the posi-

tion of the House on voice votestanding vote called for by the House speakerResolution adopted on standing vote

RESOLUTION 3

Physician Dispensing ndash Limiting Scope as Pertains to Controlled Sub-stancesBroward County Pharmacists Associa-tion

Whereas a significant problem regard-ing the misuse of controlled substances in our state has been identified and

Whereas the checks and balances that the pharmacist brings to the equation of reducing the potential for misuse of controlled substances due to conflicts of interest is circumvented in the phy-sician dispensing model

Be it Resolved that the FPA seek legis-lative changes to limit the in-office dis-pensing of controlled substances up to and not more than a three (3) day sup-ply Contact Broward County Pharmacists AssociationDaniel P sweet RPhPast President Board Member954-232-8202

Motion to amend the phrase ldquowork with the respective BoardsrdquoAmendment is adoptedMotion to amend by adding the words ldquouprdquo and the words ldquoand not more thanrdquo to the first sentenceMotion to amend passesMotion to amend by striking the last sentence of the resolveMotion to amend passesResolution Adopted

Intent With the advent of Pain Man-agement Clinics with Dispensaries Pa-tient safety and control is lost by not having a Pharmacist oversee the pa-tientsrsquo therapeutic management with-in the guidelines of the FDA and Con-trolled substance Abuse Act

RESOLUTION 4

Pharmacy Service TaxBroward County Pharmacists Associa-tion

Whereas Pharmacy has assumed the burden of absorbing the costs associat-ed with receiving and sending data to all sources

Whereas these costs continue to grow and are not associated with the cost of the product or filling fee received then

Be it Resolved that the FPA work with the proper legislative process for the state to create a TAX for prescriptions to cover all communication costs inher-ent in Rx processing for e-prescribing communications to PBMrsquos and data re-porting costs for handling in-state re-porting of Controlled substances

Be it Further Resolved that the col-lected tax be used only for Pharmacy Claims Administrative Costs in han-dling the claims and bear no economic andor administrative burdens on the pharmacy

Resolution not Adopted

Contact Broward County Pharmacists AssociationDaniel P sweet RPhPast President Board Member954-232-8202

Intent With greater dependency on data network and associated costs to all pharmacies we have been placed in a pinch With the state controlling the process we gain on many fronts First no back-end costs on any Rx claim next the state can legally charge PBMrsquos un-der contract and will be responsible for collecting the tax and lastly the state can use their collective bargain-ing power to reduce the costs associat-ed with data transmission

Respectfully submitted

Broward County Pharmacists Associa-tion

O C T O B e r 2 0 0 9 | 21

RESOLUTION 5

RPh Not a Degree Designationleon County Pharmacy Association

WHEREAS pharmacists with a PharmD degree very proudly and rightfully use their degree designation of PharmD with their name and

WHEREAS pharmacists with a BsP degree generally use RPh with their name and

WHEREAS the designation of RPh for Registered Pharmacist is not a degree designation and was enacted into the original Florida Pharmacy Practice Act of 1889 The current practice act defines a pharmacist as a licensed Pharmacist lPh

THEREFORE the leon County Phar-macy Association moves that the FPA promote the use of the BPharm desig-nation for the BsP degree in place of the RPh designation which no longer is ref-erenced in the Florida Pharmacy Prac-tice Act

Motion to amendMotion to amend failsResolution Adopted

Contact persons Michael A Jackson- (850) 222- 2400Jim Powers- (850) 422- 0079

Background The resolution pretty well speaks for itself however it should be noted that in most national pharmacy publications pharmacists with a BsP degree are using the BPharm designa-tion behind their names In research-ing Dr Gene Gramlingrsquos book ldquoA His-tory of Pharmacy in Floridardquo it has the Florida Pharmacy Practice Act of 1889 which reads as follows section 4 Be it further enacted that the Board of Phar-macy shall register in a suitable book the names and places of residence of all persons to whom they issue certifi-cates and dates thereof It shall be the duty of said Board of Pharmacy to reg-ister without examination as registered pharmacists all pharmacists and drug-gists who are engaged in business in

the state of Florida at the passage of this act as owners or principals of stores or pharmacies In any village town or city of more than 200 inhabitants helliprdquo

RESOLUTION 6

Long Term Care regulatory frame-workFlorida Chapter of American society of Consultant Pharmacist

Whereas the Florida regulatory frame-work for long-term care pharmacy should be reviewed periodically to en-sure that it is consistent with current practice the FPA legislative commit-tee resolves to coordinate with the Flor-ida Chapter of the American society of Consultant Pharmacists to review the current regulatory framework for long-Term Care pharmacy in Florida

Resolved that the FPA legislative Committee coordinate with the Flori-da Chapter of the American society of Consultant Pharmacists to review the current regulatory framework for long-Term Care Pharmacy in Florida

Resolve substituted by the sponsor and accepted by the House substitute Resolution Adopted

Contact name and Phone stephen J Grabowski (727) 945-0760

Problem As the number of our nationrsquos seniors has grown so to have the de-mands and challenges placed upon the pharmacists serving those seniors who live in long-term care facilities since the practice of pharmacy has evolved over the years with increased workload demands changing roles of pharmacy technicians and new technologies so too have the regulatory guidelines and oversight responsibilities of the state boards

Intent not only will the practice of pharmacy need to adapt to the needs of seniors in long-term care facilities but state board of pharmacies and phar-macists under their preview must un-

derstand the impact of these changes Pharmacists practicing in long-term care must collaborate with state boards of pharmacy to update practice acts to ensure the protection of the health safety and welfare of the public

RESOLUTION 7

Evaluation of the ldquoPedigree Docu-mentation Programrdquo as stated in Flor-ida Statue 499Alachua County Association of Phar-macists

Whereas Florida statue 499 states that its purpose is to safeguard the public health and promote the public welfare by protecting the public from injury by product use and by merchandising de-ceit involving drugs devices and cos-metics

Whereas Pharmacies Pharmacists Pharmacy Wholesalers Pharmaceuti-cal Manufacturers and Pharmacy Re-packagers are all an integral part of this program

Whereas there is financial costs associ-ated with this program

Whereas there are penalties associated with this program

RESOLVED - The FPA request the Agency for Health Care Administra-tion to evaluate the ldquoPedigree Docu-mentation Programrdquo (49901212) to de-termine effectiveness and identification of improvements in the program for the protection of the public safety

Problem - The state of Florida enact-ed the ldquoPedigree Documentation Pro-gramrdquo (49901212) to keep adulterated and misbranded pharmaceuticals from consumers

Intent - To determine the effectiveness of the ldquoPedigree Documentation Pro-gramrdquo in achieving its purpose

Resolution Adopted

22 | f L O r i d a p h a r m a C y T O d a y

sion forward Please join us in Talla-hassee next March

FPA Legislative Key Contact Network

The FPA legislative Committee would like to match up at least one pharmacist with every key legisla-tor in the state If you currently have a relationship with one of your state legislators or if you are willing to take the steps listed above to be one of our grassroots advocates we want to know sign up to be a member of our Key legislative Contacts If you can help please let us know by con-tacting any member of the legisla-tive Committee listed below or you may contact me directly at klwizcomcastnet

lastly your legislative Commit-tee deserves a BIG ldquoThank Yourdquo for their time and effort These mem-bers have stepped up to help our profession grow and prosper Fol-lowing is a list of the members of the 2009-2010 FPA legislative Commit-teeDavid AndrewsDon BergemannGary DalinMitchell FingerhutAmy FerrolRamy GabrielMark HobbsMichael JacksonHumberto MartinezMark PercifieldManny PrieguezAlexander PytlarzTeysha RichardsonWilliam RiffeeTheresa Tollenorman TomakaAmanda Waltemathlori WeemsKaren WhalenRobert WilburChristine Yocum

Ken Wisniewski2009-2010 legislative Committee Chair

Viewpoint continued from page 5Respectfully submitted

Alachua County Association of Phar-macists

RESOLUTION 8

Continuous quality Improvement Program-Program EvaluationAlachua County Association of Phar-macists

Whereas the CQI Program is a system of standards and procedures to identify and evaluate quality-related events and improve patient care

Whereas some of the main goals of FPA and the Board of Pharmacy is to improve patient care and safety

Whereas an evaluation of the CQI Pro-gram may identify improvements that could be incorporated into the pro-gram

Whereas information about patient safety practices obtained from the pro-gram evaluation would be helpful if shared with the pharmacists of Florida and the nation

Resolved that the FPA request the Flor-ida Board of Pharmacy to conduct a Program evaluation of the Continuous Quality Improvement Program (64B16-27300)

Problem- since the enactment of 64B16-27300 Continuous Quality Improve-ment (CQI) Program there has not been a program evaluation

Intent- The evaluation of the CQI Pro-gram for effectiveness

Respectfully submittedAlachua County Association of Phar-macists

Resolution Adopted

JOIN TODAY

Florida Pharmacy Association

O C T O B e r 2 0 0 9 | 23

RESOLUTION 1Pharmacy Manager in Charge Man-date rule changes for the State require to be on-site 24 hr perweekBroward County Pharmacist Associa-tion Whereas There is no statutory or rule requirement for a Manager in Charge to be present in the PharmacyWhereas over the last few years in-ternet practices and non-pharmacist owned pharmacies have flourished in practice settings that were poorly su-pervisedBe it Resolved that the FPA propose that the Florida Pharmacy Board pro-mulgate rules which safeguard the public by having a Responsible par-ty (Pharmacy Manager of Record) on premises 24 hrs per given weekContact Broward County Pharmacist AssocDaniel P sweet RPhPast President Board Member954-232-8202Intent To protect the public from non-pharmacist owners to influence the practice of pharmacy by placing a phar-macist on record without reviewing the day to day operations of Pharmacy Practice and its Rules and statuesResolution Not AdoptedRespectfully SubmittedBroward County Pharmacist Associa-tion

RESOLUTION 2

Repeal 40 hr Rule for Community Pharmacy PermitBroward County Pharmacist Associa-tion Whereas the Practice of Pharmacy is evolving to an Information Profession where pharmacists will be reviewing medication therapyWhereas in populated areas there are multiple pharmacies in a compact radi-usBe it Resolved that the Florida Board of Pharmacy act in repealing the 40 hr rule for Community Pharmacy Permit withstanding that there is a pharmacy within 5 miles with extended hours or a 24 hr pharmacy within 2 milesContact

Daniel P sweet RPhPast President Board Member Broward County Pharmacist Assoc954-232-8202 Intent With Pharmacy Practice evolv-ing with more Pharmacists are going to use there education to create office type practice The Pharmacist will need to be off-site to review medications and council patients on the use of their medicationRespectfully SubmittedBroward County Pharmacist Associa-tion Motion to amendAmendment passedSpeaker unable to determine the posi-tion of the House on voice voteStanding vote called for by the House SpeakerResolution adopted on standing vote

RESOLUTION 3

Physician Dispensing ndash Limiting Scope as Pertains to Controlled Sub-stancesBroward County Pharmacists Associa-tionWhereas a significant problem regard-ing the misuse of controlled substances in our state has been identified andWhereas the checks and balances that the pharmacist brings to the equation of reducing the potential for misuse of controlled substances due to conflicts of interest is circumvented in the phy-sician dispensing model Be it Resolved that the FPA seek legis-lative changes to limit the in-office dis-pensing of controlled substances up to and not more than a three (3) day sup-ply Contact Broward County Pharmacists Associa-tionDaniel P sweet RPhPast President Board Member954-232-8202Motion to amend the phrase ldquowork with the respective BoardsrdquoAmendment is adoptedMotion to amend by adding the words ldquouprdquo and the words ldquoand not more thanrdquo to the first sentenceMotion to amend passes

Motion to amend by striking the last sentence of the resolveMotion to amend passesResolution AdoptedIntent With the advent of Pain Man-agement Clinics with Dispensaries Pa-tient safety and control is lost by not having a Pharmacist oversee the pa-tientsrsquo therapeutic management with-in the guidelines of the FDA and Con-trolled substance Abuse Act

RESOLUTION 4

Pharmacy Service TaxBroward County Pharmacists Associa-tionWhereas Pharmacy has assumed the burden of absorbing the costs associat-ed with receiving and sending data to all sourcesWhereas these costs continue to grow and are not associated with the cost of the product or filling fee received thenBe it Resolved that the FPA work with the proper legislative process for the state to create a TAX for prescriptions to cover all communication costs inher-ent in Rx processing for e-prescribing communications to PBMrsquos and data re-porting costs for handling in-state re-porting of Controlled substancesBe it Further Resolved that the col-lected tax be used only for Pharmacy Claims Administrative Costs in han-dling the claims and bear no economic andor administrative burdens on the pharmacyResolution Not AdoptedContact Broward County Pharmacists Associa-tionDaniel P sweet RPhPast President Board Member954-232-8202Intent With greater dependency on data network and associated costs to all pharmacies we have been placed in a pinch With the state controlling the process we gain on many fronts First no back-end costs on any Rx claim next the state can legally charge PBMrsquos un-der contract and will be responsible for collecting the tax and lastly the state can use their collective bargain-ing power to reduce the costs associat-

EmailFax Network HotlineReceive up-to-date and up-to-the-min-ute information on legislative Develop-ments Board of Pharmacy changes and other topics affecting the profession of pharmacy Call FPA Member services at (850) 222-2400 ext 110 ndash rsimmonspharmviewcom

Tax ResourceProvides defense and protection of your assets when you are audited Tax Resource will defend their clients for any income tax audit Federal or state for any tax year Tax Resource pio-neered the tax audit service business and is the largest audit defense firm in the United states Call (800) 92-AUDIT (800-922-8348)

Atlantic Coupon Redemption Center Receive payment in 25 working days of couponrsquos face value plus a rebate of 16 cents based on store volume Call Meredith McCord (800) 223-0398

Florida Commerce Federal Credit Union The chief objective of a credit union is not generating profits for stockholders but to provide service to its member The members benefit by getting attrac-tive returns on savings loans made at fair rates of interest plus enhanced and expanded services This is probably one of the best deals around Call (850) 488-0035

Collection Services For past due accounts call I C system Inc Call (800) 328-9595

Other Member Benefits n Discounted Continuing education

Programsn Monthly Issues of the Florida Phar-

macy Today Journal

ITC Deltacom offering FPA members exclusive associa-tion discounts on telecommunication ser-vices including local services long dis-tance data networks telephone systems and dedicated internet access Call 850-701-3200 or visit wwwitcdeltacomcom

Pharmacy Resource Materials FPA provides the most recent and rele-vant resources necessary to meet your professional needs This includes the Continuous Quality Improvement Manu-al Controlled substance Inventory Book-lets and Pharmacy signs Please call FPA Members services for more information 850-222-2400 ext 110

FPA Website Visit our FPA Website at wwpharmviewcom The site launched in December 2004 and revised in october 2008 includes a members only section The website of-fers a secure server so that you can reg-isters for Ce programs renew your mem-bership or purchase resources materials with your credit card

in keeping with a tradition of offering our members real benefits the Florida Pharmacy association (FPa) is proud to announce the introduction of sponsored discount Benefits Program these vendors are dedicated to providing an excellent value to all FPa members and associates to take advantage of benefits contact the vendors directly at the numbers listed below and identify yourself as a FPa member and have your membership id number handy

MEMBERSHIP MATTERS

Florida Pharmacy Association

24 | f L O r i d a p h a r m a C y T O d a y

Wyeth Bowl of Hygeia

Awarded to a pharmacist for out-standing community service above and beyond professional duties The use of the following selection criteria is re-quired

The recipient must be a Florida li- n

censed pharmacist and a member of FPAThe recipient must be living Awards n

are not presented posthumouslyThe recipient has not previously re- n

ceived the awardThe recipient is not currently serving n

nor has heshe served within the immediate past 2 years on its award committee or an officer of the asso-ciation in other than an ex officio ca-pacityThe recipient has compiled an out- n

standing record of community ser-vice which apart from hisher spe-cific identification as a pharmacist reflects well on the profession

James H Beal Award

Awarded to the Pharmacist of the Year The criteria established for this award is that the recipient be a Flori-da registered pharmacist and a mem-ber of FPA who has rendered outstand-ing service to pharmacy within the past five yearsCriteria

The recipient must be a Florida reg- n

istered pharmacist and a member of the FPAThe recipient has rendered outstand- n

ing service to pharmacy within the past five years

Technician of the Year AwardAwarded annually to a Florida

pharmacy technician who is recog-nized for hisher outstanding perfor-mance and achievement during hisher career

Criteria

Candidate must be a member of n

the Florida Pharmacy Association for at least 2 yearsCandidate must have demonstrat- n

ed contributions and dedication to the advancement of pharmacy technician practiceCandidate must have demonstrat- n

ed contributions to the Florida Pharmacy Association andor oth-er pharmacy organizationsCandidate must have demonstrat- n

ed commitment to community ser-viceCandidate is not a past recipient of n

this award

RQ Richards Award

This award is based on outstanding achievement in the field of pharmaceu-tical public relations in FloridaCriteria

The recipient must be a Florida reg- n

istered pharmacist and a member of the FPAThe recipient has displayed out- n

standing achievement in the field of pharmaceutical public relations in Florida

Frank TobackAZO Consultant

Pharmacist Award

CriteriaCandidate must be an FPA member n

registered with the Florida Board of Pharmacy as a consultant pharma-cist in good standingCandidate should be selected based n

on their outstanding achievements in the field of consultant pharmacy

DCPA Sidney Simkowitz

Pharmacy Involvement Award

Presented annually to a Florida pharmacist who has been active at the local and state pharmacy association level in advancement of the profes-sion of pharmacy in Florida

CriteriaA minimum of five years of active n

involvement in and contributions to the local association and FPACandidate must have held office at n

local level pharmacy associationMember in good standing for a pe- n

riod of at least five years in the FPA and must have served as a member or chairman of a committee of the associationCandidate must have been active- n

ly involved in a project that has or could potentially be of benefit to members of the profession

Pharmacists Mutual Companies

Distinguished Young Pharmacist

Award

Awarded to a young pharmacist for their involvement and dedication to the practice of pharmacyCriteria

licensed to practice for nine (9) years n

or lesslicensed to practice in the state in n

which selectedParticipation in national pharmacy n

association professional programs andor community service

IPA Roman Maximo Corrons

Inspiration amp Motivation Award

Interamerican Pharmacists Association created this award to honor the memo-ry of Roman M Corrons who inspired and motivated countless pharmacists to participate actively and aspire to take on leadership roles in their profession Roman was always there with guidance and support that motivated pharma-cists and encouraged visionary leader-ship approachable active membership and succession planning This award recognizes the motivators among us who inspire others to continue to ad-vance the professionCriteria

C a L L f O r N O m i N a T i O N s F P A A W A R D S 2 0 0 9 - 2 0 1 0

O C T O B e r 2 0 0 9 | 25

DEADLINE FOR NOMINATIONS FEBRUARY 28 2010

The recipient must be a Florida li- n

censed Pharmacist and a member of the FPACandidate should motivate others n

to excel within the profession by en-couraging them to be leadersCandidate is not necessarily an as- n

sociation officer but guides sup-ports andor inspires others

A brief description on the candidatersquos motivationalinspirational skills must accompany the nomination

The Jean Lamberti

Mentorship Award

The Jean lamberti Mentorship Award was established in 1998 to hon-or those pharmacists who have taken time to share their knowledge and ex-

perience with pharmacist candidates The award is named in honor of long time FPA member Jean lamberti for her effort in working with pharmacy studentsCriteria

The recipient must be an FPA mem- n

berThe recipient must serve as a role n

model for the profession of pharmacy

Innovative Pharmacy Practice

Award

Awarded to honor practicing phar-macists who have demonstrated inno-vation in pharmacy practice that has resulted in improved patient careCriteria

The recipient has demonstrated inno- n

vative pharmacy practice resulting in improved patient careThe recipient should be a practic- n

ing pharmacist within the geograph-ic area represented by the presenting Association

Qualified nominee A pharmacist prac-ticing within the geographic area repre-sented by the presenting Association

I AM PLEASED TO SUBMIT THE FOLLOWING NOMINATION

Name

Address

FOR THE FOLLOWING AWARD

(Nomination Deadline February 28 2009)

Wyeth Bowl of Hygeia Award

James H Beal Award

RQ Richards Award

Frank TobackAZO Consultant Pharmacist Award

DCPA Sydney Simkowitz Award

Pharmacists Mutual Co Distinguished Young Pharmacist Award

Academy of Pharmacy Practice Practitioner Merit Award

The Jean Lamberti Mentorship Award

IPA Roman Maximo Corrons Inspiration amp Motivation Award

Innovative Pharmacy Practice Award

Technician of the Year Award

NOMINATED BY

Name

Date Submitted

Signature

Please describe briefly below the nominees accomplishments indicating why you feel he or she should receive this award (Attach additional sheets if necessary)

C a L L f O r N O m i N a T i O N s F P A A W A R D S 2 0 0 9 - 2 0 1 0

F P A A W A R D S N O M I N A T I O N F O R M

mail nominatons to annual awards Florida Pharmacy association 610 n adams st tallahassee Fl 32301(850) 222-2400 FaX (850) 561-6758 dEadlinE For nominations is FEBrUary 28 2010

26 | f L O r i d a p h a r m a C y T O d a y

CALL FOR RESOLUTIONS TO THE 2010 HOUSE OF DELEGATES

The House of Delegates Board of Directors will meet in March 2010 to review and approve resolu-tions for the Annual Meeting The deadline for submitting resolutions is March 15 2010 PleAse noTe THIs DeADlIne

The following information will be needed when submitting resolutions

1 name of organization The name of the organization submitting the resolutions(s)2 name and telephone number of individuals A contact in the event clarification or further in-

formation is needed 3 Problem A statement of the problem addressed by the resolution4 Intent A statement of what passage of the resolution will accomplish5 Resolution Format (please type and use double spacing)

TiTle of ResoluTion

name of oRganizaTion

WheReas and

WheReas

TheRefoRe be iT

Resolved (ThaT The fPa oR subdivision of fPa)

ConTaCT name and Phone

PRoblem

inTenT

Page 7: October 2009 Florida Pharmacy Journal

O C T O B e r 2 0 0 9 | 7

Executive InsightBY MICHAEL JACKSON RPH

What is the Value of Professional organizations

These days we are all going to have to watch our spending hab-its and scrutinize which bills get

paid which bills get delayed and which bills we leave in decay While the nation and our state struggle to right them-selves during these challenging eco-nomic times it is no wonder that par-ticipation in membership organizations rise to the top of the scrutiny list

our personal budgets become a list of needs with the number of wants de-clining dramatically Food and shelter are essential expenditures that are not included in the disposable income bud-gets This is followed by transportation communication health care insurance education and training Disposable in-come generally has been used for such things as entertainment vacation gifts and charitable contributions It is with-in this part of our personal budgets that we allocate funds to support our pro-fessional associations and societies

Why sign up for membership in an organization While we each may have our own reasons some of the more ob-vious direct benefits include discounts on offered continuing-education pro-grams general assistance with regula-tory issues and discounts on services provided by the associationrsquos member benefits partners such as car rentals hotel stays and telecommunication ser-vices There also are benefits such as competitive rates on workers compen-sation insurance complimentary access to FPArsquos web based law and regulato-ry information resource and discounts on our controlled substance inventory booklet There also are benefits from re-ceiving breaking information on regu-latory and legislative changes to critical pharmacy rules and laws from news-

letters and the Associationrsquos monthly journal

The FPA has a member retention program called the 1 Club This orga-nization within the FPA is designed for members who believe so much in the Florida Pharmacy Associationrsquos mis-

sion and vision that they are willing to reach out to others to encourage their joining our organization There is a di-rect benefit here in that those members who actively recruit 10 regular mem-bers into the FPA receive a complimen-tary registration at the annual meeting a sporty red blazer and a plaque with recognition for their commitment In addition complimentary registration is awarded for the continued participation each year as an active 1 Club member through the recruitment of three new regular members during each conven-tion year

This is all great information how-ever there are other reasons to support your professional organizations that may not necessarily fall into direct ben-efit categories over the years the ca-reers of pharmacists have blossomed into areas that produced significant personal financial growth Part of this has been through the demand for phar-macist dispensing services the build-ing of many venues requiring licensed pharmacists and the development and advertising of new prescription drugs

This demand for pharmacists though moderating in recent years has created a number of new career options for currently practicing pharmacists as well as for new pharmacy candidates enrolled in our five colleges and uni-versities here in Florida We hope that our members are aware that this pro-fession was advocated for by the Flor-ida Pharmacy Association through the creation of the Board of Pharmacy The purpose was to ensure that only those who qualify should be allowed to prac-tice this profession The intent was also

[The 1 Club] within the FPA is designed for members who believe

so much in the Florida Pharmacy Associationrsquos

mission and vision that they are willing to reach out to others to

encourage their joining our organization

BY MICHAEL JACKSON FPA ExECUTIvE vICE PRESIDENTCEO

Michael Jackson BPharm

8 | f L O r i d a p h a r m a C y T O d a y

Executive Vice PresidentCEOMichael Jackson

(850) 222-2400 ext 200Director of Continuing Education

Tian Merren-Owens ext 120Controller

Wanda Hall ext 211Membership CoordinatorRanada Simmons ext 110

Educational Services Office AssistantStacey Brooks ext 210

FLORIDA PHARMACY TODAY BOARDChair Designate Betty Harris Lighthouse Point Treasurer Stephen Grabowski TampaSecretary Stuart Ulrich Boynton BeachMember Joseph Koptowsky MiamiMember Jennifer Pytlarz BrandonExecutive Editor Michael Jackson TallahasseeManaging Editor Dave Fiore Tallahassee

This is a peer reviewed publication copy2009 FLORIDA PHARMACY JOURNAL INCARTICLE ACCEPTANCE The Florida Phar-macy Today is a publication that welcomes articles that have a direct pertinence to the current practice of pharmacy All articles are subject to review by the Publication Review Committee editors and other outside referees Submitted articles are received with the understanding that they are not being considered by another publication All articles become the property of the Florida Pharmacy Today and may not be published without written permission from both the author and the Florida Pharmacy Today The Florida Pharmacy Association assumes no responsibility for the statements and opinions made by the authors to the Florida Pharmacy Today

The Journal of the Florida Pharmacy Association does not accept for publication articles or letters concerning religion politics or any other subject the editorspublishers deem unsuitable for the readership of this journal In addition The Journal does not accept advertising material from persons who are running for office in the association The editors reserve the right to edit all materials submitted for publication Letters and materials submitted for consideration for publication may be subject to review by the Editorial Review Board

FLORIDA PHARMACY TODAY Annual sub-scription - United States and foreign Indi-vidual $36 Institution $70year $500 single copies Florida residents add 7 sales tax

Florida Pharmacy association

610 N Adams St bull Tallahassee FL 32301850222-2400 bull FAX 850561-6758

Web Address httpwwwpharmviewcom

FPA STAFF

Over half of your dues go into the funding of our advocacy program

to advocate for consumer confidence in the services that we provide and that our profession has individuals with the skills and knowledge to resolve pa-tient medication issues without causing harm

Keep in mind that other benefits in-clude the vast networking opportu-nities to gain knowledge from others within our organization who have de-veloped innovative practices or who have resolved a health care service re-

lated issue While we can learn much from what is published in the phar-macy press there is a wealth of knowl-edge from peer dialog at conferences and leadership meetings

organizations also share informa-tion of interest and value with their members The value of information in todayrsquos competitive world is truly un-derestimated I know of pharmacists who received lucrative promotions from their employer simply because they had information provided to them by their organizations or that no one else had It is no secret that many orga-nizations such as the FPA have active members who have the ability to make decisions whether a pharmacist candi-date has the necessary skills training and commitment to their profession in todayrsquos competitive hiring market

Having been a former district man-ager with responsibility over 58 pre-scription departments in three states I can tell you from experience that I looked carefully at applicants who could demonstrate to me their involve-ment in their growth and development beyond standard classroom internship training and work experience Those who were actively involved in their professional organizations and had the experience of networking and com-municating with consumers and oth-er health care practitioners with ease

generally were at a competitive advan-tage over a pharmacist candidate who could only produce a great transcript and time behind the workbench

Finally simply reporting legislative or regulatory changes to the practice act are not the sole task of professional organizations They also invest a con-siderable amount of resources into ad-vocating for change or revisions to the laws and rules that affect how you pro-vide services to patients as well as de-

fending against policy making that creates professional barriers In many cases the practice evolves beyond state and federal regulations Your profes-sional organizations work to facilitate the change necessary to make sure that the laws are sensible and relevant in to-dayrsquos modern pharmacy practice envi-ronment Then we must be a resource to you to help integrate these changes so that you do not fall out of compli-ance

A portion of our membership will be receiving renewal notices for the January billing cycle We hope that you have found some of the information in this article beneficial and encour-aging enough to invest in your pro-fession over half of your dues go into the funding of our advocacy program The dues paid by our regular members are barely equal to the cost associat-ed with drinking two bottled waters a week We hope that the information in this article encourages you to continue your support for our profession and al-low your dues to be an essential expen-diture Please consider it an investment in your future n

O C T O B e r 2 0 0 9 | 9

The concrete bricks are 4x8 and can be engraved with up to 14 characters per line three lines available spaces and punctuation count as one character Please fi nd enclosed my check for $_________ for _________ bricks

PLEASE PRINT Please charge my Master Card Visa

CARD EXP DATE

AUTHORIZED SIGNATURE

NAME

ADDRESS

CITY STATE ZIP

PHONE (W) (H)

O R D E R F O R M

Send to Florida Pharmacy Foundation 610 N Adams St Tallahassee FL 32301or fax to (850) 561-6758

Contributions to the Florida Pharmacy Foundation are tax deductible as a charitable contribution for federal income tax purposes Consult your CPA for complete details Fed Emp ID 59-2190074

A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE 1-800-435-7352 WITHIN THE STATE REGISTRATION DOES NOT IMPLY ENDORSEMENT APPROVAL OR RECOMMENDATION BY THE STATE

The Walkway of Recognition

YES I want to order _______ concrete bricks at $25000 each (Please copy form for additional inscriptions)

Have you been searching for just the right gift or thought of placing your name in perpetuity If so then consider purchasing an engraved brick for you or someone else

The main sidewalk at the Florida Pharmacy Association needs replacing The Florida Pharmacy Foundation has undertaken the project to repair and beautify the sidewalk with engraved personal bricks purchased by pharmacists or friends of pharmacy

Engraved 4x8 bricks can be purchased for $25000 each with the donorrsquos name engraved (3 lines available) or you could also purchase an engraved brick for someone you feel should be honored or remembered

The monies earned from this project will be used to fulfi ll the goals and future of the Foundation There are a limited number of bricks available ndash so it is fi rst come fi rst served

PLEASE PRINT INSCRIPTION

THE WALKWAY OF RECOGNITION

YOUR NAME HERE

FPA OFFICE

FoundationAdBrickesindd 1 122308 94448 PM

10 | f L O r i d a p h a r m a C y T O d a y

Visits to doctor n s for influenza-like illness (IlI) continued to increase in the United states and overall are higher than levels expected for this time of the year Total influenza n hospitalization rates for laboratory-con-firmed influenza are higher than expected for this time of year for adults and children And for children 5-17 and adults 18-49 years of age hospitalization rates from April ndash october 2009 exceed average flu season rates (for octo-ber through April) The proportion of n deaths attributed to pneumonia and in-fluenza (PampI) based on the 122 Cities Report has increased and now exceeds what is normally expected at this time of year In addition 19 flu-related pediatric deaths were reported this week 16 of these deaths were confirmed 2009 H1n1 and 3 were unsubtyped influenza A and like-ly to be 2009 H1n1 A total of 76 laboratory confirmed 2009 H1n1 pediatric deaths have been reported to CDC since April Thirty-seven states are reporting n widespread influen-za activity at this time They are Alabama Alaska Ari-zona Arkansas California Colorado Delaware Florida Georgia Idaho Illinois Indiana Iowa Kansas Kentucky louisiana Maryland Minnesota Mississippi Missouri nebraska nevada new Hampshire new Mexico new York north Carolina ohio oklahoma oregon Penn-sylvania south Carolina south Dakota Texas Tennes-see Virginia Washington and Wyoming Any reports of widespread influenza activity in september and october are very unusual Almost all of the influenza n viruses identified so far are 2009 H1n1 influenza A viruses These viruses remain similar to the virus chosen for the 2009 H1n1 vaccine and remain susceptible to the antiviral drugs oseltamivir and zanamivir with rare exception CDC Guidance for Businesses and Employers To Plan and Respond to the

2009ndash2010 Influenza Season

IntroductionThe Us Department of Health and Human servicesrsquo

(HHs) Centers for Disease Control and Prevention (CDC) with input from the Us Department of Homeland security (DHs) has developed updated guidance for employers of all sizes to use as they develop or review and update plans to re-

spond to 2009 H1n1 influenza now and during the upcom-ing fall and winter influenza season Businesses and employ-ers in general play a key role in protecting employeesrsquo health and safety as well as in limiting the negative impact of in-fluenza outbreaks on the individual the community and the nationrsquos economy employers who have developed pandemic plans should review and revise their plans in light of the cur-rent 2009 H1n1 influenza outbreak to take into account the extent and severity of disease in their community as outlined in this guidance2

Planning for Fall and Winter Influenza SeasonBusinesses may have already been impacted by the spring

and summer outbreaks of 2009 H1n1 influenza affecting their employees CDC anticipates that more communities may be affected than were in the springsummer 2009 andor more severely affected reflecting wider transmission and possibly greater impact In addition seasonal influenza viruses may cause illness at the same time as 2009 H1n1 this fall and win-ter In response to the anticipated spread of 2009 H1n1 in-fluenza the CDC has revised its recommendations to assist businesses and other employers of all sizes

The severity of illness that 2009 H1n1 influenza flu will cause (including hospitalizations and deaths) or the amount of illness that may occur as a result of seasonal influenza dur-ing the 2009ndash2010 influenza season cannot be predicted with a high degree of certainty Therefore employers should plan to be able to respond in a flexible way to varying levels of severity and be prepared to refine their pandemic influenza response plans if a potentially more serious outbreak of in-fluenza evolves during the fall and winter More people and communities are likely to be affected as influenza is more widely transmitted The CDC and its partners will continu-ously monitor national and international data on the severity of illness caused by influenza will disseminate the results of these ongoing surveillance assessments and will make addi-tional recommendations as needed

Considerations of Appropriate Response Strategies

All employers must balance a variety of objectives when determining how best to decrease the spread of influenza and lower the impact of influenza in the workplace They should

2009 H1N1 Flu Situation UpdateKey Flu Indicatorseach week CDC analyzes information about influenza disease activity in the United states and publishes findings of key flu indicators in a report called FluView During the week of september 27 - october 3 2009 a review of the key indictors found that influenza activity increased in the United states Below is a summary of the most recent key indicators

O C T O B e r 2 0 0 9 | 11

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Mergers and AcquisitionsCommercial Civil and Criminal Proceedings

KAHAN SHIR PL

Pharmacist AttorneyBrian A Kahan RPh JD

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STATEWIDE REPRESENTATION

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The hiring of a lawyer is an important decision that should not be based solely upon advertisements Before you decide ask us to send you free written information about our qualifications and experience

consider and communicate their objectives which may in-clude one or more of the following (a) reducing transmis-sion among staff (b) protecting people who are at increased risk of influenza related complications from getting infected with influenza (c) maintaining business operations and (d) minimizing adverse effects on other entities in their supply chains

employers should expect to see a wide range of disease patterns across the country employers should base their strategies and response to influenza outbreaks on local infor-mation from local and state public health authorities some of the key indicators that should be used when making deci-sions on appropriate responses are

Disease severity (ie hospitalization and death rates) in n

the community where business is locatedextent of disease (number of people who are sick) in the n

communityAmount of worker absenteeism in your business or orga- n

nizationImpact of disease on workforce populations that are vul- n

nerable and at higher risk (eg pregnant women employ-ees with certain chronic medical conditions that put them at increased risk for complications of influenza) andother factors that may affect employeesrsquo ability to get to n

work such as school dismissals or closures due to high levels of illness in children or school dismissalsemployers need to plan now to be able to obtain updated

information on these indicators from state and local health departments in each community where they have a business presence and to respond quickly to the changing reality on the ground employers with more than one business location are encouraged to provide local managers with the authori-ty to take appropriate actions outlined in their business pan-demic plan based on the condition in each locality

Preparedness and Response Recommendations

PLANNING FOR 2009 H1N1 AND THE 2009ndash2010 INFLUENzA SEASON

This guidance is designed to help employers plan for and respond to two possible conditions 1) a continuation of the current level of severity of influenza as was observed during the spring and summer of 2009 and 2) a more severe outbreak The first situation is what is being experienced in some com-munities nowmdashan outbreak of similar severity of 2009 H1n1 to the spring However even if the severity of the virus does not change planners should expect that there will be more people who are ill in the fall and winter as 2009 H1n1 out-breaks coincide with the seasonal influenza season and this level of absenteeism may impact business operations A sec-ond situation involves an outbreak of greater severity includ-ing more people with severe illness and thus more people hospitalized for influenza complications more deaths from influenza and a probable escalation of absenteeism

12 | f L O r i d a p h a r m a C y T O d a y

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The Right Jobbull Flexible Schedulesbull Top Compensationbull Great Benefi tsbull Local or Travel

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Businesses should have an understanding of their normal seasonal absenteeism rates and know how to monitor their personnel for any unusual increases in absenteeism through the fall and winter Business continuity planners should as-sess their essential business functions now to determine at what threshold of absenteeism those functions would be threatened if absenteeism escalates Planners can then pre-pare to take more aggressive measures to protect continuity as absenteeism escalates towards those thresholds

even employers in communities that have not yet felt ef-fects from 2009 H1n1 influenza should plan for an influen-za outbreak this fall and winter and be ready to implement strategies to protect their workforce while ensuring continuity of operations During an influenza pandemic all sick people should stay home and away from the workplace hand wash-ing and covering coughs and sneezes should be encouraged and routine cleaning of commonly touched surfaces should be performed regularly If the severity of illness increases employers should be ready to implement additional measures while continuing to rigorously implement the interventions recommended for an outbreak similar to the springsummer 2009 H1n1 outbreak If severity increases public health offi-cials may recommend a variety of methods for increasing the physical distance between people (called social distancing) to reduce the spread of disease such as school dismissal child care program closure canceling large community gatherings canceling large business-related meetings spacing workers farther apart in the workplace canceling non-essential travel

and recommending work-from-home strategies for workers that can conduct their business remotely

Please remember employers should develop capabilities to respond to both scenarios and these two conditions serve only as a planning framework Businesses and other employ-ers should develop flexible capabilities to respond to either situation given the difficulties in accurately predicting the ex-tent and severity of 2009 H1n1 as it unfolds during the 2009ndash2010 influenza season Individual businesses may implement additional actions if they experience high absenteeism or business continuity is compromised In addition employers should be aware that other emergencies such as hurricanes or other natural disasters may happen during the fall and win-ter creating additional challenging problems for businesses and communities

WORk WITH STATE AND LOCAL PUBLIC HEALTH PARTNERS

Coordination with state and local health officials is strong-ly encouraged for all businesses so that timely and accurate information can guide appropriate responses in each location where their operations reside since the intensity of an out-break may differ according to geographic location local pub-lic health officials will be issuing guidance specific to their communities Also businesses could work with public health and community leaders to explore ways of improving accessi-bility of vaccination for the workforce and in the community

kEEP SICk WORkERS HOME

one of the best way to reduce the spread of influenza is to keep sick people away from well people However in the fall and winter it will not be possible to quickly determine if workers who are ill have 2009 H1n1 seasonal influenza or any number of other different conditions based on symptoms alone local and state health department surveillance infor-mation can be helpful to know when influenza is circulating in the community although the availability timeliness and amount of local information on when influenza is circulating may vary substantially from community to community

Workers who have symptoms of influenza-like illness3 are recommended to stay home and not come to work until at least 24 hours after their fever has resolved4 Regardless of the size of the business or the function or services that you pro-vide all employers should plan now to allow and encourage sick workers to stay home without fear of losing their jobs CDC recommends this strategy for all levels of severity em-ployers should plan now for how they will operate if there is significant absenteeism from sick workers However employ-ers should know that some persons with influenza including those ill with 2009 H1n1 do not have fever Therefore it will not be possible to exclude everyone who is ill with influenza from the workplace

BE PREPARED IF SCHOOLS DISMISS STUDENTS OR CHILD CARE PROGRAMS CLOSE

In some communities schools may dismiss students and childcare programs may close particularly if the severity in-

O C T O B e r 2 0 0 9 | 13

creases5 officials will make these decisions to protect pub-lic health but they will affect your businessrsquos functioning es-pecially affecting absenteeism Plan now to determine how you will operate if absenteeism spikes from increases in sick workers those who stay home to care for ill family members and those who must stay home to watch their children if dis-missed from school Businesses and other employers should prepare to institute flexible workplace and leave policies for these workers

Actions Employers Should Take NowReview or establish a flexible influenza pandemic plan n

and involve your employees in developing and reviewing your planConduct a focused discussion or exercise using your plan n

to find out ahead of time whether the plan has gaps or problems that need to be corrected before flu seasonHave an understanding of your organizationrsquos normal n

seasonal absenteeism rates and know how to monitor your personnel for any unusual increases in absenteeism through the fall and winterengage state and local health department to confirm n

channels of communication and methods for dissemina-tion of local outbreak informationAllow sick workers to stay home without fear of losing n

their jobsDevelop other flexible leave policies to allow workers to n

stay home to care for sick family members or for children if schools dismiss students or child care programs closeshare your influenza pandemic plan with employees and n

explain what human resources policies workplace and leave flexibilities and pay and benefits will be available to themshare best practices with other businesses in your com- n

munities (especially those in your supply chain) cham-bers of commerce and associations to improve communi-ty response efforts andAdd a ldquowidgetrdquo or ldquobuttonrdquo to your company Web page n

or employee Web sites so employees can access the lat-est information on influenza wwwcdcgovwidgets and wwwcdcgovsocialMediaCampaignsH1n1buttonshtml

Important Components of an Influenza Pandemic Plan

Be prepared to implement multiple measures to protect n

workers and ensure business continuity A layered ap-proach will likely work better than using just one mea-sureIdentify possible work-related exposure and health risks n

to your employees The occupational safety and Health Administration (osHA) has developed tools to determine if your employees are at risk of work-related exposures and if so how to respond (see wwwoshagovdsgtopics

I n d e p e n d e n t hellip B u t N o t A l o n e P P S C i s Y o u r P a r t n e r f o r S u c c e s s

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returns and Part B billingREDUCE claim resubmissionsINCREASE your profits

For more on how PPSC can maximize the potential of your independent pharmacy visit wwwppsconlinecom or call toll-free 888-778-9909

14 | f L O r i d a p h a r m a C y T O d a y

City of Tallahassee Declares October as American Pharmacists Month

Tallahassee Mayor John Marks has declared october as American Pharmacist Month In a procla-mation signed on october 1 2009 Mayor Marks urged all citizens to acknowledge the valuable servic-es of pharmacists to provide safe affordable and beneficial pharma-ceutical care services and prod-ucts to all citizens

The Florida Pharmacy Associa-tion wish to thank our FAMU in-tern Carina Davison for her work with the City of Tallahassee dur-ing her rotation here at the FPA of-fice

FROM THE GOVERNING BODY OFTHE CITY OF TALLAHASSEE

PROCLAMATIONWhereas pharmacy is one of the oldest of the health professions con-cerned with the health and well-being of all people andWhereas today there are over 254000 pharmacists practicing in the United States and over 400 pharmacists licensed in the city of Tallahassee providing services to assure the rational and safe use of all medications andWhereas the use of medication as a cost-effective alternative to more expensive medical procedures is becoming a major force in moderating overall health care costs andWhereas todays powerful medications require greater attention to the manner in which they are used by different patient population groups -both clinically and demographically andWhereas it is important that all users of prescription and nonprescrip-tion medications or their caregivers be knowledgeable about and share responsibility for their own drug therapy andWhereas the American Pharmacists Association and the Florida Phar-macy Association have declared October as American Pharmacists Month with the theme Know Your Medicines - Know Your Pharmacist

Now therefore be it resolved that I John Marks do hereby proclaim October as

American Pharmacists Month

in the city of Tallahassee and urge all our citizens to acknowledge the valuable services of pharmacists to provide safe affordable and beneficial pharmaceutical care services and products to all citizens

O C T O B e r 2 0 0 9 | 15

pandemicfluindexhtml)Review human resources policies to make sure that poli- n

cies and practices are consistent with public health rec-ommendations and are consistent with existing state and federal workplace laws (for more information on employ-er responsibilities employers should visit the Department of laborrsquos and the equal employment opportunity Com-missionrsquos websites at wwwdolgov and wwweeocgov)Allow employees to stay home if they are ill have to care n

for ill family members or must watch their children if schools or childcare facilities closeexplore whether you can establish policies and practices n

such as flexible worksites (eg telecommuting) and flex-ible work hours (eg staggered shifts) when possible to increased the physical distance among employees and be-tween employees and others if local public health author-ities recommend the use of social distancing strategies ensure that you have the information technology and in-frastructure needed to support multiple workers who may be able to work from homeIdentify essential business functions essential jobs or n

roles and critical elements within your supply chains (eg raw materials suppliers subcontractor servicesproducts and logistics) required to maintain business op-erations Plan for how your business will operate if there is increasing absenteeism or these supply chains are inter-ruptedset up authorities triggers and procedures for activat- n

ing and terminating the companyrsquos response plan alter-ing business operations (eg possibly changing or closing operations in affected areas) and transferring business knowledge to key employees Work closely with your lo-cal health officials to identify these triggersPlan to minimize exposure to fellow employees or the n

public if public health officials call for social distancingestablish a process to communicate information to work- n

ers and business partners on your 2009 H1n1 influenza response plans and latest 2009 H1n1 influenza informa-tion Anticipate employee fear anxiety rumors and mis-information and plan communications accordingly

over the past several years HHs CDC DHs osHA eeoC and other federal partners have developed guidelines including checklists to assist businesses industries and oth-er employers in planning for a pandemic outbreak Review these resources to assist in your planning efforts wwwflugovplanworkplaceplanningindexhtml

The recommendations that follow provide guidance on how employers can develop strategies and respond to two levels of severity local conditions will influence the deci-sions that public health officials make regarding community-level strategies employers should take the time now to learn about plans in place in each community where they have a presence

Recommended Employer Responses for the 2009-2010 Flu SeasonRecommended Action Steps under Current Flu Conditions (similar severity as in SpringSummer 2009)

If the severity of illness in the fall and winter is similar to that observed in the spring and summer of 2009 the effects of 2009 H1n1 influenza may not have substantial impacts on absenteeism though some increase in absenteeism over the spring season is anticipated When larger numbers of people become ill correspondingly larger numbers of people will be-come seriously ill and may require hospitalization

SICK PERSONS SHOuLD STAY HOMEAdvise workers to be alert to any signs of fever and any n

other signs of influenza-like illness6 before reporting to work each day and notify their supervisor and stay home if they are ill employees who are ill should not travel while they are illCDC recommends that employees with influenza-like ill- n

ness remain at home until at least 24 hours after they are free of fever (100deg F [378deg C] or greater) or signs of a fever without the use of fever-reducing medicationsexpect sick employees to be out for about 3 to 5 days in n

most cases even if antiviral medications are usedensure that your sick leave policies are flexible and con- n

sistent with public health guidance and that employees are well aware of these policiesTalk with companies that provide your company with n

contract or temporary workers about the importance of sick workers staying home and encourage them to devel-op non-punitive leave policiesDo not require a doctorrsquos note for workers who are ill with n

influenza-like illness to validate their illness or to return to work as doctorrsquos offices and medical facilities may be extremely busy and may not be able to provide such doc-umentation in a timely way employees who are well but who have an ill family mem- n

ber at home with influenza can go to work as usual How-ever these employees should monitor their health every day and notify their supervisor and stay home if they be-come ill employers should maintain flexible policies that permit employees to stay home to care for an ill family member employers should be aware that more workers may need to stay at home to care for ill children or other ill family members than is usual

SICK EMPLOYEES AT WORK SHOuLD BE ASKED TO gO HOME

CDC recommends that workers who appear to have an n

influenza-like illness upon arrival or become ill during the day be promptly separated from other workers and be advised to go home until at least 24 hours after they are free of fever (100deg F [378deg C] or greater) or signs of a fever without the use of fever-reducing medications Those who become ill with symptoms of an influenza-like n

illness during the work day should be

16 | f L O r i d a p h a r m a C y T O d a y

o separated from other workers and asked to go home promptly (For recommendations on personal protec-tive equipment for a person assisting the ill employee see Interim Recommendations for Facemask and Res-pirator Use to Reduce novel Influenza A (H1n1) Vi-rus Transmission httpwwwcdcgovh1n1flumaskshtm)

o When possible and if they can tolerate it workers with influenza-like illness should be given a surgical mask to wear before they go home if they cannot be placed in an area away from others

If an employee becomes ill at work inform fellow employ- n

ees of their possible exposure in the workplace to influen-za-like illness but maintain confidentiality as required by the Americans with Disabilities Act (ADA) For more in-formation on privacy issues please refer to httpwwwflugovfaqworkplace_questionsequal_employmentin-dexhtmlPrivacyIssues employees exposed to a sick co-worker should monitor themselves for symptoms of influ-enza-like illness and stay home if they are sick

COVER COugHS AND SNEEzESInfluenza viruses are thought to spread mainly from per- n

son to person in respiratory droplets of coughs and sneez-es Provide employee messages on the importance of cov-ering coughs and sneezes with a tissue or in the absence of a tissue onersquos sleeve Place posters in the worksite that encourages cough and sneeze etiquetteProvide tissues and no-touch disposal receptacles for use n

by employees

IMPROVE HAND HYgIENEInfluenza may be spread via contaminated hands In- n

struct employees to wash their hands often with soap and water or use an alcohol-based hand cleaner especially af-ter coughing or sneezing Place posters in the worksite that encourage hand hygieneProvide soap and water and alcohol-based hand sanitiz- n

ers in the workplace ensure that adequate supplies are maintained If feasible place hand sanitizers in multiple locations or in conference rooms to encourage hand hy-giene

CLEAN SuRFACES AND ITEMS THAT ARE MORE LIKELY TO HAVE FREquENT HAND CONTACT

Frequently clean all commonly touched surfaces in the n

workplace such as workstations countertops and door-knobs Use the cleaning agents that are usually used in these areas and follow the directions on the labelno additional disinfection beyond routine cleaning is rec- n

ommendedENCOuRAgE EMPLOYEES TO gET VACCINATED

encourage your employees to get vaccinated for seasonal n

influenza For information on groups prioritized for sea-sonal influenza vaccines please see httpwwwcdcgovfluprotectkeyfactshtm encourage your employees also to get vaccinated for 2009 n

H1n1 influenza when vaccines are available to them Dif-ferent groups are prioritized for 2009 H1n1 influenza than for seasonal influenza For information on groups prioritized for H1n1 influenza vaccine please see httpwwwcdcgovh1n1fluvaccinationaciphtm offer opportunities at your worksite for influenza vacci- n

nation Consider granting employees time off from work to get vaccinated if not offered at the worksiteReview the health benefits you offer employees and work n

with insurers to explore if they can cover the costs of in-fluenza vaccination

TAKE MEASuRES TO PROTECT EMPLOYEES WHO ARE AT HIgHER RISK FOR COMPLICATIONS OF INFLuENzA

People at higher risk for complications from influenza in- n

clude pregnant women children under 5 years of age adults and children who have chronic lung disease (such as asthma) heart disease diabetes diseases that suppress the immune system and other chronic medical conditions and those who are 65 years or older7 Inform employees that some people are at higher risk of n

complications from influenza and that if they are at high-er risk for complications they should check with their health care provider if they become ill early treatment with antiviral medications is very important for people at high risk because it can prevent hospitalizations and deathsencourage employees recommended for seasonal influ- n

enza vaccine and 2009 H1n1 vaccines to get vaccinated as soon as these vaccines are available For information on groups prioritized for seasonal and H1n1 vaccines please see httpwwwcdcgovfluprotectkeyfactshtm and httpwwwcdcgovh1n1fluvaccinationaciphtmemployees who become ill and are at increased risk of n

complications from influenza and ill employees who are concerned about their illness should call their health care provider for advice Their health care provider might want them to take antiviral medications to reduce the likelihood of severe complications from the influenzasee n httpwwwcdcgovh1n1fluqahtm for more infor-mation

PREPARE FOR INCREASED NuMBERS OF EMPLOYEE ABSENCES DuE TO ILLNESS IN EMPLOYEES AND THEIR FAMILY MEMBERS AND PLAN WAYS FOR ESSENTIAL BuSINESS FuNCTIONS TO CONTINuE

employers should plan to monitor and respond to ab- n

senteeism at the workplace Implement plans to contin-ue your essential functions in case you experience high-er than usual absenteeism elevated absentee rates can be due to sick workers those who need to stay home and care for others or from workers with conditions that make them at higher risk for complications from influen-za and who may be worried about coming to work Cross-train personnel to perform essential functions so n

that the workplace is able to operate even if key staff are absent

O C T O B e r 2 0 0 9 | 17

Assess your essential functions and the reliance that oth- n

ers and the community have on your services or products Be prepared to change your business practices if need-ed to maintain critical operations (eg identify alternative suppliers prioritize customers or temporarily suspend some of your operations if needed)

ADVISE EMPLOYEES BEFORE TRAVELINg TO TAKE CERTAIN STEPS

Advise workers to check themselves for fever and any n

other signs of influenza-like illness before starting travel and notify their supervisor and stay home if they are illAdvise employees who will be traveling or on temporary n

assignment about precautions they may need to take to protect their health and who to call if they become illemployees who become ill while traveling and are at in- n

creased risk of complications from influenza and oth-ers concerned about their illness should promptly call a health care provider for adviceensure employees who become ill while traveling or on n

temporary assignment understand that they should noti-fy their supervisor If outside the United states ill employees should fol- n

low your companyrsquos policy for obtaining medical care or contact a health care provider or overseas medical assis-tance company to assist them with finding an appropriate health care provider in that country if needed A Us con-sular officer can help locate health care services However Us embassies consulates and military facilities do not have the legal authority capability and resources to evac-uate or give medications vaccines or medical care to pri-vate Us citizens overseassee CDCrsquos Travel Website ( n httpwwwncdcgovtrav-elcontentnovel-h1n1-fluaspx) for more information for travelers

PREPARE FOR THE POSSIBILITY OF SCHOOL DISMISSAL OR TEMPORARY CLOSuRE OF CHILD CARE PROgRAMS

Although school dismissals or closures of child care pro- n

grams are not likely to be generally recommended at this level of severity they are possible in some jurisdictions Be prepared to allow workers to stay home to care for n

children if schools are dismissed or child care programs are closed strongly recommend that parents not bring their children n

with them to work while schools are dismissedensure that your leave policies are flexible and non-puni- n

tive Cross-train employees to cover essential functions n

Read CDCrsquos Guidance for state and local Public Health n

officials and school Administrators for school (K-12) Re-sponses which can be found at httpwwwcdcgovh1n-1fluschoolsschoolguidancehtm to better understand the conditions under which schools may be dismissed

Under Conditions with Increased Severity Compared to SpringSummer 2009

If 2009 H1n1 becomes more severe than during springsummer 2009 absenteeism will likely be far greater and ad-ditional protective measures to slow the spread of influenza may be considered Check with your local health department for the extent and severity of disease activity in your commu-nity and for recommendations for necessary measures Deci-sions about what tools should be used during a severe 2009 H1n1 outbreak should be based on the observed severity of the event its impact on specific subpopulations the need to protect workers the expected benefit of the interventions the feasibility of success of implementing these measures the di-rect and indirect costs of different interventions and the ef-fects on critical infrastructure health care delivery and soci-ety The following are measures that should be considered if influenza severity increases and are meant for use in addition to the measures outlined above

CONSIDER ACTIVE SCREENINg OF EMPLOYEES WHO REPORT TO WORK

If influenza severity increases at the beginning of the n

workday or with each new shift all employees should be asked about symptoms consistent with an influenza ill-ness8 such as fever or chills AnD cough or sore throat If the severity or the impact of influenza increases CDC rec-ommends that persons with an influenza-like illness not come to work or travel and remain at home for at least 7 days even if symptoms resolve sooner Individuals who are still sick 7 days after they become ill should continue to stay home until at least 24 hours after symptoms have resolved If influenza severity increases CDC recom-mends that people stay home at least 7 days whether or not antiviral medications are usedMake sure your sick leave policies are flexible and consis- n

tent with public health guidance and that your employ-ees are aware of these policies Do not require a doctorrsquos note for workers who are ill with n

influenzaContinue to advise workers to check for any signs of ill- n

ness before reporting to work each dayMake contingency plans for increased absenteeism n

caused by illness in workers or illness in workersrsquo family members that would require them to stay home Planning for absenteeism could include cross-training current em-ployees or hiring temporary workers

CONSIDER ALTERNATIVE WORK ENVIRONMENTS FOR EMPLOYEES AT HIgHER RISK FOR COMPLICATIONS OF INFLuENzA DuRINg PERIODS OF INCREASED INFLuENzA ACTIVITY IN THE COMMuNITY

employees with an underlying chronic medical condition n

or who are pregnant should consider calling their health care provider for advice about how to reduce their risk of exposure to influenza and if they get sick how best to get early treatment for influenzaIf influenza severity increases and if influenza transmis- n

sion is high in the community employers may want to evaluate their work environment to see how they can re-

18 | f L O r i d a p h a r m a C y T O d a y

duce the number of people that high-risk employees come in contact with such as exploring options for telecom-muting from home (if feasible) employers can also think about how workers at higher risk for influenza compli-cations could be reassigned to duties that have minimal contact with other employees clients or customers If these workers cannot be reassigned duties to reduce con-tact with others are concerned about their ability to avoid influenza at the workplace or will be in crowded condi-tions at work or while commuting to work then consider allowing employees at higher risk for influenza complica-tions to stay home from workCDC recommends that ill workers at higher risk of com- n

plications from influenza seek early treatment if they be-come illsee n httpwwwcdcgovh1n1fluqahtm for more infor-mation

CONSIDER INCREASINg SOCIAL DISTANCINg IN THE WORKPLACE

If influenza severity increases local public health offi- n

cials may recommend that employers implement mea-sures to increase the physical distance between people in the workplace to reduce the spread of influenza The goal should be for there to be at least 6 feet of distance between people at most times This is not a simple or easy strategy and would typically require considerable flexibility These measures may include avoiding crowded work settings canceling business-related face-to-face meetings spacing workers farther apart canceling non-essential travel in-creasing use of teleworking and using staggered shifts to allow fewer workers to be in the workplace at the same time9

If appropriate for your type of business and feasible re- n

view or develop policies for teleworking including an as-sessment of the capabilities and gaps of your current com-puter systems and availability of technical support Take remedial steps if needed and test your system in advance to assure it can handle an increase in remote usersRecommendations to increase social distancing may af- n

fect community functioning Because supply chain issues may be affected make sure you have plans for back-up suppliers

CONSIDER CANCELINg NON-ESSENTIAL BuSINESS TRAVEL AND ADVISINg EMPLOYEES ABOuT POSSIBLE DISRuPTIONS WHILE TRAVELINg OVERSEAS

If the severity of the outbreak worldwide increases in the n

fall or winter public health officials may recommend so-cial distancing strategies which include canceling non-es-sential travel and travel restrictions may be enacted by some countries which may limit the ability of employees to return home if they become ill while on travel statusIf influenza severity increases travelers should also be n

prepared for travel delays health screenings and other activities targeted towards travelers Provide information to travelers about contingency plans and how their travel

can be rebooked for these possible delays

PREPARE FOR SCHOOL DISMISSAL OR CLOSuRE OF CHILD CARE PROgRAMS

school dismissals and closure of child care programs are n

more likely at higher levels of severity Be prepared to allow workers to stay home to care for their children if schools are dismissed or child care programs are closed If dismissal is needed schools are being advised to dis-miss students for at least 5 to 7 calendar days or longer if necessary encourage employees who perform essential functions n

and who have children to plan for contingencies should local child care programs close or schools dismiss stu-dents Be prepared for prolonged absenteeism if schools dismiss n

students for an extended time Make sure your leave poli-cies are flexible and non-punitive employers should strongly recommend that parents not n

bring their children with them to work while schools are dismissedImplement flexible workplace policies like teleworking n

and staggered shifts Cross-train employees to cover essential functions n

Read CDCrsquos school guidance which can be found at n

httpwwwcdcgovh1n1fluschoolsschoolguidancehtm to better understand the conditions under which schools may be dismissed

OTHER CONSIDERATIONSAs part of their comprehensive pandemic planning n

some public and private sector employers have stock-piled or otherwise arranged for influenza antiviral drugs to be available for their employees during a pandemic To guide these efforts HHs released guidance to busi-nesses in 2008 entitled Considerations for Antiviral Drug Stockpiling by Employers in Preparation for an Influenza Pan-demic (httpwwwflugovvaccineantiviral_employershtml) see updated interim guidance on the use of antivi-ral agents for treatment and prophylaxis of 2009 H1n1 in-fluenza infection at httpwwwcdcgovh1n1flurecom-mendationshtmemployers should be aware that the severity of 2009 n

H1n1 influenza could change rapidly therefore local public health recommendations to communities and busi-nesses could be revised quickly Planners should identi-fy sources of timely and accurate information so they are aware of changes to recommendations and can promptly implement revised or additional measures recommended by local public health officials

O C T O B e r 2 0 0 9 | 19

The Florida Pharmacy Association 2009 ResolutionsPresented to the House of Delegates

It is an honor to serve as your 2009-2010 FPA speaker of the House of Delegates I have the privilege of follow-ing in the footsteps of some of FPArsquos most effective and prominent leaders and speakers including most recently suzanne Kelly

The House meeting held during the 2009 FPA An-nual Meeting in st Augustine was a lively and exciting meeting for our association If you missed the meeting or unaware of how the FPA House of Delegates serves itrsquos membership I strongly encourage you to contact myself directly or any of the FPA House of Delegates Board of Di-rectors Any one of us will be happy to get you involved and excited about this group and share with you how ev-ery resolution directly impacts the direction of the associ-ation and you its member

The FPA Board of Directors of the House of Delegates is made up of the following faithful memberssuzanne Kelly ndash Chair of the House of Delegates Board

of DirectorsAlexander Pytlarz ndash speaker of the House of DelegatesWilliam Riffee ndash Vice-speakershannon Zandy ndash DirectorCaridad Ferree ndash DirectorJosh Fields ndash Director Karen Whalen ndash FPA PresidentHumberto Martinez ndash FPA President-electMichael A Mone ndash ParliamentarianMichael A Jackson ndash FPA executive Vice President amp

Ceoon behalf of the House Board of Directors Irsquod like to

welcome the newest members of the House Board of Di-

rectors Dean William Riffee Vice-speaker and Caridad Ferree Director were elected at this years FPA Annual Meeting We look forward to their involvement

The House also had the privilege of introducing two new invited organizations to the House They are nige-rian Pharmacists Association and Florida Independent Pharmacy network

If any member represents an organization that wants to be involved in the House of Delegates please contact me directly I will be happy to work with you and your or-ganization so you are represented within the House and have your voice heard by all FPA members

At this past yearrsquos meeting the House reviewed eight submitted resolutions Below is a summary of the actions of the each resolution that the House took and to what committee the adopted resolutions were referred to by your President Karen Whalen Please review these reso-lutions as they will impact the policies and direction of our association If you have any comments or questions please feel free to contact me or any member of the House Board As always itrsquos never too early to start thinking about possible resolutions for next years House

Thank you for the opportunity to serve you and the Florida Pharmacy Association

Best regards

Alexander Pytlarz2009-2010 speaker of the House of Delegates

RESOLUTION 1

Pharmacy Manager in Charge Man-date rule changes for the State require to be on-site 24 hr perweekBroward County Pharmacist Associa-tion

Whereas There is no statutory or rule requirement for a Manager in Charge to be present in the Pharmacy

Whereas over the last few years in-ternet practices and non-pharmacist owned pharmacies have flourished in practice settings that were poorly su-pervised

Be it Resolved that the FPA propose that the Florida Pharmacy Board pro-mulgate rules which safeguard the public by having a Responsible par-ty (Pharmacy Manager of Record) on

premises 24 hrs per given week

Contact Broward County Pharmacist AssocDaniel P sweet RPhPast President Board Member954-232-8202

Intent To protect the public from non-pharmacist owners to influence the practice of pharmacy by placing a phar-

20 | f L O r i d a p h a r m a C y T O d a y

macist on record without reviewing the day to day operations of Pharmacy Practice and its Rules and statues

Resolution not Adopted

Respectfully submitted

Broward County Pharmacist Associa-tion

RESOLUTION 2

Repeal 40 hr Rule for Community Pharmacy PermitBroward County Pharmacist Associa-tion

Whereas the Practice of Pharmacy is evolving to an Information Profession where pharmacists will be reviewing medication therapy

Whereas in populated areas there are multiple pharmacies in a compact radi-us

Be it Resolved that the Florida Board of Pharmacy act in repealing the 40 hr rule for Community Pharmacy Permit withstanding that there is a pharmacy within 5 miles with extended hours or a 24 hr pharmacy within 2 miles

Contact Daniel P sweet RPhPast President Board Member Broward County Pharmacist Assoc954-232-8202

Intent With Pharmacy Practice evolv-ing with more Pharmacists are going to use there education to create office type practice The Pharmacist will need to be off-site to review medications and council patients on the use of their medication

Respectfully submittedBroward County Pharmacist Associa-tion

Motion to amendAmendment passedspeaker unable to determine the posi-

tion of the House on voice votestanding vote called for by the House speakerResolution adopted on standing vote

RESOLUTION 3

Physician Dispensing ndash Limiting Scope as Pertains to Controlled Sub-stancesBroward County Pharmacists Associa-tion

Whereas a significant problem regard-ing the misuse of controlled substances in our state has been identified and

Whereas the checks and balances that the pharmacist brings to the equation of reducing the potential for misuse of controlled substances due to conflicts of interest is circumvented in the phy-sician dispensing model

Be it Resolved that the FPA seek legis-lative changes to limit the in-office dis-pensing of controlled substances up to and not more than a three (3) day sup-ply Contact Broward County Pharmacists AssociationDaniel P sweet RPhPast President Board Member954-232-8202

Motion to amend the phrase ldquowork with the respective BoardsrdquoAmendment is adoptedMotion to amend by adding the words ldquouprdquo and the words ldquoand not more thanrdquo to the first sentenceMotion to amend passesMotion to amend by striking the last sentence of the resolveMotion to amend passesResolution Adopted

Intent With the advent of Pain Man-agement Clinics with Dispensaries Pa-tient safety and control is lost by not having a Pharmacist oversee the pa-tientsrsquo therapeutic management with-in the guidelines of the FDA and Con-trolled substance Abuse Act

RESOLUTION 4

Pharmacy Service TaxBroward County Pharmacists Associa-tion

Whereas Pharmacy has assumed the burden of absorbing the costs associat-ed with receiving and sending data to all sources

Whereas these costs continue to grow and are not associated with the cost of the product or filling fee received then

Be it Resolved that the FPA work with the proper legislative process for the state to create a TAX for prescriptions to cover all communication costs inher-ent in Rx processing for e-prescribing communications to PBMrsquos and data re-porting costs for handling in-state re-porting of Controlled substances

Be it Further Resolved that the col-lected tax be used only for Pharmacy Claims Administrative Costs in han-dling the claims and bear no economic andor administrative burdens on the pharmacy

Resolution not Adopted

Contact Broward County Pharmacists AssociationDaniel P sweet RPhPast President Board Member954-232-8202

Intent With greater dependency on data network and associated costs to all pharmacies we have been placed in a pinch With the state controlling the process we gain on many fronts First no back-end costs on any Rx claim next the state can legally charge PBMrsquos un-der contract and will be responsible for collecting the tax and lastly the state can use their collective bargain-ing power to reduce the costs associat-ed with data transmission

Respectfully submitted

Broward County Pharmacists Associa-tion

O C T O B e r 2 0 0 9 | 21

RESOLUTION 5

RPh Not a Degree Designationleon County Pharmacy Association

WHEREAS pharmacists with a PharmD degree very proudly and rightfully use their degree designation of PharmD with their name and

WHEREAS pharmacists with a BsP degree generally use RPh with their name and

WHEREAS the designation of RPh for Registered Pharmacist is not a degree designation and was enacted into the original Florida Pharmacy Practice Act of 1889 The current practice act defines a pharmacist as a licensed Pharmacist lPh

THEREFORE the leon County Phar-macy Association moves that the FPA promote the use of the BPharm desig-nation for the BsP degree in place of the RPh designation which no longer is ref-erenced in the Florida Pharmacy Prac-tice Act

Motion to amendMotion to amend failsResolution Adopted

Contact persons Michael A Jackson- (850) 222- 2400Jim Powers- (850) 422- 0079

Background The resolution pretty well speaks for itself however it should be noted that in most national pharmacy publications pharmacists with a BsP degree are using the BPharm designa-tion behind their names In research-ing Dr Gene Gramlingrsquos book ldquoA His-tory of Pharmacy in Floridardquo it has the Florida Pharmacy Practice Act of 1889 which reads as follows section 4 Be it further enacted that the Board of Phar-macy shall register in a suitable book the names and places of residence of all persons to whom they issue certifi-cates and dates thereof It shall be the duty of said Board of Pharmacy to reg-ister without examination as registered pharmacists all pharmacists and drug-gists who are engaged in business in

the state of Florida at the passage of this act as owners or principals of stores or pharmacies In any village town or city of more than 200 inhabitants helliprdquo

RESOLUTION 6

Long Term Care regulatory frame-workFlorida Chapter of American society of Consultant Pharmacist

Whereas the Florida regulatory frame-work for long-term care pharmacy should be reviewed periodically to en-sure that it is consistent with current practice the FPA legislative commit-tee resolves to coordinate with the Flor-ida Chapter of the American society of Consultant Pharmacists to review the current regulatory framework for long-Term Care pharmacy in Florida

Resolved that the FPA legislative Committee coordinate with the Flori-da Chapter of the American society of Consultant Pharmacists to review the current regulatory framework for long-Term Care Pharmacy in Florida

Resolve substituted by the sponsor and accepted by the House substitute Resolution Adopted

Contact name and Phone stephen J Grabowski (727) 945-0760

Problem As the number of our nationrsquos seniors has grown so to have the de-mands and challenges placed upon the pharmacists serving those seniors who live in long-term care facilities since the practice of pharmacy has evolved over the years with increased workload demands changing roles of pharmacy technicians and new technologies so too have the regulatory guidelines and oversight responsibilities of the state boards

Intent not only will the practice of pharmacy need to adapt to the needs of seniors in long-term care facilities but state board of pharmacies and phar-macists under their preview must un-

derstand the impact of these changes Pharmacists practicing in long-term care must collaborate with state boards of pharmacy to update practice acts to ensure the protection of the health safety and welfare of the public

RESOLUTION 7

Evaluation of the ldquoPedigree Docu-mentation Programrdquo as stated in Flor-ida Statue 499Alachua County Association of Phar-macists

Whereas Florida statue 499 states that its purpose is to safeguard the public health and promote the public welfare by protecting the public from injury by product use and by merchandising de-ceit involving drugs devices and cos-metics

Whereas Pharmacies Pharmacists Pharmacy Wholesalers Pharmaceuti-cal Manufacturers and Pharmacy Re-packagers are all an integral part of this program

Whereas there is financial costs associ-ated with this program

Whereas there are penalties associated with this program

RESOLVED - The FPA request the Agency for Health Care Administra-tion to evaluate the ldquoPedigree Docu-mentation Programrdquo (49901212) to de-termine effectiveness and identification of improvements in the program for the protection of the public safety

Problem - The state of Florida enact-ed the ldquoPedigree Documentation Pro-gramrdquo (49901212) to keep adulterated and misbranded pharmaceuticals from consumers

Intent - To determine the effectiveness of the ldquoPedigree Documentation Pro-gramrdquo in achieving its purpose

Resolution Adopted

22 | f L O r i d a p h a r m a C y T O d a y

sion forward Please join us in Talla-hassee next March

FPA Legislative Key Contact Network

The FPA legislative Committee would like to match up at least one pharmacist with every key legisla-tor in the state If you currently have a relationship with one of your state legislators or if you are willing to take the steps listed above to be one of our grassroots advocates we want to know sign up to be a member of our Key legislative Contacts If you can help please let us know by con-tacting any member of the legisla-tive Committee listed below or you may contact me directly at klwizcomcastnet

lastly your legislative Commit-tee deserves a BIG ldquoThank Yourdquo for their time and effort These mem-bers have stepped up to help our profession grow and prosper Fol-lowing is a list of the members of the 2009-2010 FPA legislative Commit-teeDavid AndrewsDon BergemannGary DalinMitchell FingerhutAmy FerrolRamy GabrielMark HobbsMichael JacksonHumberto MartinezMark PercifieldManny PrieguezAlexander PytlarzTeysha RichardsonWilliam RiffeeTheresa Tollenorman TomakaAmanda Waltemathlori WeemsKaren WhalenRobert WilburChristine Yocum

Ken Wisniewski2009-2010 legislative Committee Chair

Viewpoint continued from page 5Respectfully submitted

Alachua County Association of Phar-macists

RESOLUTION 8

Continuous quality Improvement Program-Program EvaluationAlachua County Association of Phar-macists

Whereas the CQI Program is a system of standards and procedures to identify and evaluate quality-related events and improve patient care

Whereas some of the main goals of FPA and the Board of Pharmacy is to improve patient care and safety

Whereas an evaluation of the CQI Pro-gram may identify improvements that could be incorporated into the pro-gram

Whereas information about patient safety practices obtained from the pro-gram evaluation would be helpful if shared with the pharmacists of Florida and the nation

Resolved that the FPA request the Flor-ida Board of Pharmacy to conduct a Program evaluation of the Continuous Quality Improvement Program (64B16-27300)

Problem- since the enactment of 64B16-27300 Continuous Quality Improve-ment (CQI) Program there has not been a program evaluation

Intent- The evaluation of the CQI Pro-gram for effectiveness

Respectfully submittedAlachua County Association of Phar-macists

Resolution Adopted

JOIN TODAY

Florida Pharmacy Association

O C T O B e r 2 0 0 9 | 23

RESOLUTION 1Pharmacy Manager in Charge Man-date rule changes for the State require to be on-site 24 hr perweekBroward County Pharmacist Associa-tion Whereas There is no statutory or rule requirement for a Manager in Charge to be present in the PharmacyWhereas over the last few years in-ternet practices and non-pharmacist owned pharmacies have flourished in practice settings that were poorly su-pervisedBe it Resolved that the FPA propose that the Florida Pharmacy Board pro-mulgate rules which safeguard the public by having a Responsible par-ty (Pharmacy Manager of Record) on premises 24 hrs per given weekContact Broward County Pharmacist AssocDaniel P sweet RPhPast President Board Member954-232-8202Intent To protect the public from non-pharmacist owners to influence the practice of pharmacy by placing a phar-macist on record without reviewing the day to day operations of Pharmacy Practice and its Rules and statuesResolution Not AdoptedRespectfully SubmittedBroward County Pharmacist Associa-tion

RESOLUTION 2

Repeal 40 hr Rule for Community Pharmacy PermitBroward County Pharmacist Associa-tion Whereas the Practice of Pharmacy is evolving to an Information Profession where pharmacists will be reviewing medication therapyWhereas in populated areas there are multiple pharmacies in a compact radi-usBe it Resolved that the Florida Board of Pharmacy act in repealing the 40 hr rule for Community Pharmacy Permit withstanding that there is a pharmacy within 5 miles with extended hours or a 24 hr pharmacy within 2 milesContact

Daniel P sweet RPhPast President Board Member Broward County Pharmacist Assoc954-232-8202 Intent With Pharmacy Practice evolv-ing with more Pharmacists are going to use there education to create office type practice The Pharmacist will need to be off-site to review medications and council patients on the use of their medicationRespectfully SubmittedBroward County Pharmacist Associa-tion Motion to amendAmendment passedSpeaker unable to determine the posi-tion of the House on voice voteStanding vote called for by the House SpeakerResolution adopted on standing vote

RESOLUTION 3

Physician Dispensing ndash Limiting Scope as Pertains to Controlled Sub-stancesBroward County Pharmacists Associa-tionWhereas a significant problem regard-ing the misuse of controlled substances in our state has been identified andWhereas the checks and balances that the pharmacist brings to the equation of reducing the potential for misuse of controlled substances due to conflicts of interest is circumvented in the phy-sician dispensing model Be it Resolved that the FPA seek legis-lative changes to limit the in-office dis-pensing of controlled substances up to and not more than a three (3) day sup-ply Contact Broward County Pharmacists Associa-tionDaniel P sweet RPhPast President Board Member954-232-8202Motion to amend the phrase ldquowork with the respective BoardsrdquoAmendment is adoptedMotion to amend by adding the words ldquouprdquo and the words ldquoand not more thanrdquo to the first sentenceMotion to amend passes

Motion to amend by striking the last sentence of the resolveMotion to amend passesResolution AdoptedIntent With the advent of Pain Man-agement Clinics with Dispensaries Pa-tient safety and control is lost by not having a Pharmacist oversee the pa-tientsrsquo therapeutic management with-in the guidelines of the FDA and Con-trolled substance Abuse Act

RESOLUTION 4

Pharmacy Service TaxBroward County Pharmacists Associa-tionWhereas Pharmacy has assumed the burden of absorbing the costs associat-ed with receiving and sending data to all sourcesWhereas these costs continue to grow and are not associated with the cost of the product or filling fee received thenBe it Resolved that the FPA work with the proper legislative process for the state to create a TAX for prescriptions to cover all communication costs inher-ent in Rx processing for e-prescribing communications to PBMrsquos and data re-porting costs for handling in-state re-porting of Controlled substancesBe it Further Resolved that the col-lected tax be used only for Pharmacy Claims Administrative Costs in han-dling the claims and bear no economic andor administrative burdens on the pharmacyResolution Not AdoptedContact Broward County Pharmacists Associa-tionDaniel P sweet RPhPast President Board Member954-232-8202Intent With greater dependency on data network and associated costs to all pharmacies we have been placed in a pinch With the state controlling the process we gain on many fronts First no back-end costs on any Rx claim next the state can legally charge PBMrsquos un-der contract and will be responsible for collecting the tax and lastly the state can use their collective bargain-ing power to reduce the costs associat-

EmailFax Network HotlineReceive up-to-date and up-to-the-min-ute information on legislative Develop-ments Board of Pharmacy changes and other topics affecting the profession of pharmacy Call FPA Member services at (850) 222-2400 ext 110 ndash rsimmonspharmviewcom

Tax ResourceProvides defense and protection of your assets when you are audited Tax Resource will defend their clients for any income tax audit Federal or state for any tax year Tax Resource pio-neered the tax audit service business and is the largest audit defense firm in the United states Call (800) 92-AUDIT (800-922-8348)

Atlantic Coupon Redemption Center Receive payment in 25 working days of couponrsquos face value plus a rebate of 16 cents based on store volume Call Meredith McCord (800) 223-0398

Florida Commerce Federal Credit Union The chief objective of a credit union is not generating profits for stockholders but to provide service to its member The members benefit by getting attrac-tive returns on savings loans made at fair rates of interest plus enhanced and expanded services This is probably one of the best deals around Call (850) 488-0035

Collection Services For past due accounts call I C system Inc Call (800) 328-9595

Other Member Benefits n Discounted Continuing education

Programsn Monthly Issues of the Florida Phar-

macy Today Journal

ITC Deltacom offering FPA members exclusive associa-tion discounts on telecommunication ser-vices including local services long dis-tance data networks telephone systems and dedicated internet access Call 850-701-3200 or visit wwwitcdeltacomcom

Pharmacy Resource Materials FPA provides the most recent and rele-vant resources necessary to meet your professional needs This includes the Continuous Quality Improvement Manu-al Controlled substance Inventory Book-lets and Pharmacy signs Please call FPA Members services for more information 850-222-2400 ext 110

FPA Website Visit our FPA Website at wwpharmviewcom The site launched in December 2004 and revised in october 2008 includes a members only section The website of-fers a secure server so that you can reg-isters for Ce programs renew your mem-bership or purchase resources materials with your credit card

in keeping with a tradition of offering our members real benefits the Florida Pharmacy association (FPa) is proud to announce the introduction of sponsored discount Benefits Program these vendors are dedicated to providing an excellent value to all FPa members and associates to take advantage of benefits contact the vendors directly at the numbers listed below and identify yourself as a FPa member and have your membership id number handy

MEMBERSHIP MATTERS

Florida Pharmacy Association

24 | f L O r i d a p h a r m a C y T O d a y

Wyeth Bowl of Hygeia

Awarded to a pharmacist for out-standing community service above and beyond professional duties The use of the following selection criteria is re-quired

The recipient must be a Florida li- n

censed pharmacist and a member of FPAThe recipient must be living Awards n

are not presented posthumouslyThe recipient has not previously re- n

ceived the awardThe recipient is not currently serving n

nor has heshe served within the immediate past 2 years on its award committee or an officer of the asso-ciation in other than an ex officio ca-pacityThe recipient has compiled an out- n

standing record of community ser-vice which apart from hisher spe-cific identification as a pharmacist reflects well on the profession

James H Beal Award

Awarded to the Pharmacist of the Year The criteria established for this award is that the recipient be a Flori-da registered pharmacist and a mem-ber of FPA who has rendered outstand-ing service to pharmacy within the past five yearsCriteria

The recipient must be a Florida reg- n

istered pharmacist and a member of the FPAThe recipient has rendered outstand- n

ing service to pharmacy within the past five years

Technician of the Year AwardAwarded annually to a Florida

pharmacy technician who is recog-nized for hisher outstanding perfor-mance and achievement during hisher career

Criteria

Candidate must be a member of n

the Florida Pharmacy Association for at least 2 yearsCandidate must have demonstrat- n

ed contributions and dedication to the advancement of pharmacy technician practiceCandidate must have demonstrat- n

ed contributions to the Florida Pharmacy Association andor oth-er pharmacy organizationsCandidate must have demonstrat- n

ed commitment to community ser-viceCandidate is not a past recipient of n

this award

RQ Richards Award

This award is based on outstanding achievement in the field of pharmaceu-tical public relations in FloridaCriteria

The recipient must be a Florida reg- n

istered pharmacist and a member of the FPAThe recipient has displayed out- n

standing achievement in the field of pharmaceutical public relations in Florida

Frank TobackAZO Consultant

Pharmacist Award

CriteriaCandidate must be an FPA member n

registered with the Florida Board of Pharmacy as a consultant pharma-cist in good standingCandidate should be selected based n

on their outstanding achievements in the field of consultant pharmacy

DCPA Sidney Simkowitz

Pharmacy Involvement Award

Presented annually to a Florida pharmacist who has been active at the local and state pharmacy association level in advancement of the profes-sion of pharmacy in Florida

CriteriaA minimum of five years of active n

involvement in and contributions to the local association and FPACandidate must have held office at n

local level pharmacy associationMember in good standing for a pe- n

riod of at least five years in the FPA and must have served as a member or chairman of a committee of the associationCandidate must have been active- n

ly involved in a project that has or could potentially be of benefit to members of the profession

Pharmacists Mutual Companies

Distinguished Young Pharmacist

Award

Awarded to a young pharmacist for their involvement and dedication to the practice of pharmacyCriteria

licensed to practice for nine (9) years n

or lesslicensed to practice in the state in n

which selectedParticipation in national pharmacy n

association professional programs andor community service

IPA Roman Maximo Corrons

Inspiration amp Motivation Award

Interamerican Pharmacists Association created this award to honor the memo-ry of Roman M Corrons who inspired and motivated countless pharmacists to participate actively and aspire to take on leadership roles in their profession Roman was always there with guidance and support that motivated pharma-cists and encouraged visionary leader-ship approachable active membership and succession planning This award recognizes the motivators among us who inspire others to continue to ad-vance the professionCriteria

C a L L f O r N O m i N a T i O N s F P A A W A R D S 2 0 0 9 - 2 0 1 0

O C T O B e r 2 0 0 9 | 25

DEADLINE FOR NOMINATIONS FEBRUARY 28 2010

The recipient must be a Florida li- n

censed Pharmacist and a member of the FPACandidate should motivate others n

to excel within the profession by en-couraging them to be leadersCandidate is not necessarily an as- n

sociation officer but guides sup-ports andor inspires others

A brief description on the candidatersquos motivationalinspirational skills must accompany the nomination

The Jean Lamberti

Mentorship Award

The Jean lamberti Mentorship Award was established in 1998 to hon-or those pharmacists who have taken time to share their knowledge and ex-

perience with pharmacist candidates The award is named in honor of long time FPA member Jean lamberti for her effort in working with pharmacy studentsCriteria

The recipient must be an FPA mem- n

berThe recipient must serve as a role n

model for the profession of pharmacy

Innovative Pharmacy Practice

Award

Awarded to honor practicing phar-macists who have demonstrated inno-vation in pharmacy practice that has resulted in improved patient careCriteria

The recipient has demonstrated inno- n

vative pharmacy practice resulting in improved patient careThe recipient should be a practic- n

ing pharmacist within the geograph-ic area represented by the presenting Association

Qualified nominee A pharmacist prac-ticing within the geographic area repre-sented by the presenting Association

I AM PLEASED TO SUBMIT THE FOLLOWING NOMINATION

Name

Address

FOR THE FOLLOWING AWARD

(Nomination Deadline February 28 2009)

Wyeth Bowl of Hygeia Award

James H Beal Award

RQ Richards Award

Frank TobackAZO Consultant Pharmacist Award

DCPA Sydney Simkowitz Award

Pharmacists Mutual Co Distinguished Young Pharmacist Award

Academy of Pharmacy Practice Practitioner Merit Award

The Jean Lamberti Mentorship Award

IPA Roman Maximo Corrons Inspiration amp Motivation Award

Innovative Pharmacy Practice Award

Technician of the Year Award

NOMINATED BY

Name

Date Submitted

Signature

Please describe briefly below the nominees accomplishments indicating why you feel he or she should receive this award (Attach additional sheets if necessary)

C a L L f O r N O m i N a T i O N s F P A A W A R D S 2 0 0 9 - 2 0 1 0

F P A A W A R D S N O M I N A T I O N F O R M

mail nominatons to annual awards Florida Pharmacy association 610 n adams st tallahassee Fl 32301(850) 222-2400 FaX (850) 561-6758 dEadlinE For nominations is FEBrUary 28 2010

26 | f L O r i d a p h a r m a C y T O d a y

CALL FOR RESOLUTIONS TO THE 2010 HOUSE OF DELEGATES

The House of Delegates Board of Directors will meet in March 2010 to review and approve resolu-tions for the Annual Meeting The deadline for submitting resolutions is March 15 2010 PleAse noTe THIs DeADlIne

The following information will be needed when submitting resolutions

1 name of organization The name of the organization submitting the resolutions(s)2 name and telephone number of individuals A contact in the event clarification or further in-

formation is needed 3 Problem A statement of the problem addressed by the resolution4 Intent A statement of what passage of the resolution will accomplish5 Resolution Format (please type and use double spacing)

TiTle of ResoluTion

name of oRganizaTion

WheReas and

WheReas

TheRefoRe be iT

Resolved (ThaT The fPa oR subdivision of fPa)

ConTaCT name and Phone

PRoblem

inTenT

Page 8: October 2009 Florida Pharmacy Journal

8 | f L O r i d a p h a r m a C y T O d a y

Executive Vice PresidentCEOMichael Jackson

(850) 222-2400 ext 200Director of Continuing Education

Tian Merren-Owens ext 120Controller

Wanda Hall ext 211Membership CoordinatorRanada Simmons ext 110

Educational Services Office AssistantStacey Brooks ext 210

FLORIDA PHARMACY TODAY BOARDChair Designate Betty Harris Lighthouse Point Treasurer Stephen Grabowski TampaSecretary Stuart Ulrich Boynton BeachMember Joseph Koptowsky MiamiMember Jennifer Pytlarz BrandonExecutive Editor Michael Jackson TallahasseeManaging Editor Dave Fiore Tallahassee

This is a peer reviewed publication copy2009 FLORIDA PHARMACY JOURNAL INCARTICLE ACCEPTANCE The Florida Phar-macy Today is a publication that welcomes articles that have a direct pertinence to the current practice of pharmacy All articles are subject to review by the Publication Review Committee editors and other outside referees Submitted articles are received with the understanding that they are not being considered by another publication All articles become the property of the Florida Pharmacy Today and may not be published without written permission from both the author and the Florida Pharmacy Today The Florida Pharmacy Association assumes no responsibility for the statements and opinions made by the authors to the Florida Pharmacy Today

The Journal of the Florida Pharmacy Association does not accept for publication articles or letters concerning religion politics or any other subject the editorspublishers deem unsuitable for the readership of this journal In addition The Journal does not accept advertising material from persons who are running for office in the association The editors reserve the right to edit all materials submitted for publication Letters and materials submitted for consideration for publication may be subject to review by the Editorial Review Board

FLORIDA PHARMACY TODAY Annual sub-scription - United States and foreign Indi-vidual $36 Institution $70year $500 single copies Florida residents add 7 sales tax

Florida Pharmacy association

610 N Adams St bull Tallahassee FL 32301850222-2400 bull FAX 850561-6758

Web Address httpwwwpharmviewcom

FPA STAFF

Over half of your dues go into the funding of our advocacy program

to advocate for consumer confidence in the services that we provide and that our profession has individuals with the skills and knowledge to resolve pa-tient medication issues without causing harm

Keep in mind that other benefits in-clude the vast networking opportu-nities to gain knowledge from others within our organization who have de-veloped innovative practices or who have resolved a health care service re-

lated issue While we can learn much from what is published in the phar-macy press there is a wealth of knowl-edge from peer dialog at conferences and leadership meetings

organizations also share informa-tion of interest and value with their members The value of information in todayrsquos competitive world is truly un-derestimated I know of pharmacists who received lucrative promotions from their employer simply because they had information provided to them by their organizations or that no one else had It is no secret that many orga-nizations such as the FPA have active members who have the ability to make decisions whether a pharmacist candi-date has the necessary skills training and commitment to their profession in todayrsquos competitive hiring market

Having been a former district man-ager with responsibility over 58 pre-scription departments in three states I can tell you from experience that I looked carefully at applicants who could demonstrate to me their involve-ment in their growth and development beyond standard classroom internship training and work experience Those who were actively involved in their professional organizations and had the experience of networking and com-municating with consumers and oth-er health care practitioners with ease

generally were at a competitive advan-tage over a pharmacist candidate who could only produce a great transcript and time behind the workbench

Finally simply reporting legislative or regulatory changes to the practice act are not the sole task of professional organizations They also invest a con-siderable amount of resources into ad-vocating for change or revisions to the laws and rules that affect how you pro-vide services to patients as well as de-

fending against policy making that creates professional barriers In many cases the practice evolves beyond state and federal regulations Your profes-sional organizations work to facilitate the change necessary to make sure that the laws are sensible and relevant in to-dayrsquos modern pharmacy practice envi-ronment Then we must be a resource to you to help integrate these changes so that you do not fall out of compli-ance

A portion of our membership will be receiving renewal notices for the January billing cycle We hope that you have found some of the information in this article beneficial and encour-aging enough to invest in your pro-fession over half of your dues go into the funding of our advocacy program The dues paid by our regular members are barely equal to the cost associat-ed with drinking two bottled waters a week We hope that the information in this article encourages you to continue your support for our profession and al-low your dues to be an essential expen-diture Please consider it an investment in your future n

O C T O B e r 2 0 0 9 | 9

The concrete bricks are 4x8 and can be engraved with up to 14 characters per line three lines available spaces and punctuation count as one character Please fi nd enclosed my check for $_________ for _________ bricks

PLEASE PRINT Please charge my Master Card Visa

CARD EXP DATE

AUTHORIZED SIGNATURE

NAME

ADDRESS

CITY STATE ZIP

PHONE (W) (H)

O R D E R F O R M

Send to Florida Pharmacy Foundation 610 N Adams St Tallahassee FL 32301or fax to (850) 561-6758

Contributions to the Florida Pharmacy Foundation are tax deductible as a charitable contribution for federal income tax purposes Consult your CPA for complete details Fed Emp ID 59-2190074

A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE 1-800-435-7352 WITHIN THE STATE REGISTRATION DOES NOT IMPLY ENDORSEMENT APPROVAL OR RECOMMENDATION BY THE STATE

The Walkway of Recognition

YES I want to order _______ concrete bricks at $25000 each (Please copy form for additional inscriptions)

Have you been searching for just the right gift or thought of placing your name in perpetuity If so then consider purchasing an engraved brick for you or someone else

The main sidewalk at the Florida Pharmacy Association needs replacing The Florida Pharmacy Foundation has undertaken the project to repair and beautify the sidewalk with engraved personal bricks purchased by pharmacists or friends of pharmacy

Engraved 4x8 bricks can be purchased for $25000 each with the donorrsquos name engraved (3 lines available) or you could also purchase an engraved brick for someone you feel should be honored or remembered

The monies earned from this project will be used to fulfi ll the goals and future of the Foundation There are a limited number of bricks available ndash so it is fi rst come fi rst served

PLEASE PRINT INSCRIPTION

THE WALKWAY OF RECOGNITION

YOUR NAME HERE

FPA OFFICE

FoundationAdBrickesindd 1 122308 94448 PM

10 | f L O r i d a p h a r m a C y T O d a y

Visits to doctor n s for influenza-like illness (IlI) continued to increase in the United states and overall are higher than levels expected for this time of the year Total influenza n hospitalization rates for laboratory-con-firmed influenza are higher than expected for this time of year for adults and children And for children 5-17 and adults 18-49 years of age hospitalization rates from April ndash october 2009 exceed average flu season rates (for octo-ber through April) The proportion of n deaths attributed to pneumonia and in-fluenza (PampI) based on the 122 Cities Report has increased and now exceeds what is normally expected at this time of year In addition 19 flu-related pediatric deaths were reported this week 16 of these deaths were confirmed 2009 H1n1 and 3 were unsubtyped influenza A and like-ly to be 2009 H1n1 A total of 76 laboratory confirmed 2009 H1n1 pediatric deaths have been reported to CDC since April Thirty-seven states are reporting n widespread influen-za activity at this time They are Alabama Alaska Ari-zona Arkansas California Colorado Delaware Florida Georgia Idaho Illinois Indiana Iowa Kansas Kentucky louisiana Maryland Minnesota Mississippi Missouri nebraska nevada new Hampshire new Mexico new York north Carolina ohio oklahoma oregon Penn-sylvania south Carolina south Dakota Texas Tennes-see Virginia Washington and Wyoming Any reports of widespread influenza activity in september and october are very unusual Almost all of the influenza n viruses identified so far are 2009 H1n1 influenza A viruses These viruses remain similar to the virus chosen for the 2009 H1n1 vaccine and remain susceptible to the antiviral drugs oseltamivir and zanamivir with rare exception CDC Guidance for Businesses and Employers To Plan and Respond to the

2009ndash2010 Influenza Season

IntroductionThe Us Department of Health and Human servicesrsquo

(HHs) Centers for Disease Control and Prevention (CDC) with input from the Us Department of Homeland security (DHs) has developed updated guidance for employers of all sizes to use as they develop or review and update plans to re-

spond to 2009 H1n1 influenza now and during the upcom-ing fall and winter influenza season Businesses and employ-ers in general play a key role in protecting employeesrsquo health and safety as well as in limiting the negative impact of in-fluenza outbreaks on the individual the community and the nationrsquos economy employers who have developed pandemic plans should review and revise their plans in light of the cur-rent 2009 H1n1 influenza outbreak to take into account the extent and severity of disease in their community as outlined in this guidance2

Planning for Fall and Winter Influenza SeasonBusinesses may have already been impacted by the spring

and summer outbreaks of 2009 H1n1 influenza affecting their employees CDC anticipates that more communities may be affected than were in the springsummer 2009 andor more severely affected reflecting wider transmission and possibly greater impact In addition seasonal influenza viruses may cause illness at the same time as 2009 H1n1 this fall and win-ter In response to the anticipated spread of 2009 H1n1 in-fluenza the CDC has revised its recommendations to assist businesses and other employers of all sizes

The severity of illness that 2009 H1n1 influenza flu will cause (including hospitalizations and deaths) or the amount of illness that may occur as a result of seasonal influenza dur-ing the 2009ndash2010 influenza season cannot be predicted with a high degree of certainty Therefore employers should plan to be able to respond in a flexible way to varying levels of severity and be prepared to refine their pandemic influenza response plans if a potentially more serious outbreak of in-fluenza evolves during the fall and winter More people and communities are likely to be affected as influenza is more widely transmitted The CDC and its partners will continu-ously monitor national and international data on the severity of illness caused by influenza will disseminate the results of these ongoing surveillance assessments and will make addi-tional recommendations as needed

Considerations of Appropriate Response Strategies

All employers must balance a variety of objectives when determining how best to decrease the spread of influenza and lower the impact of influenza in the workplace They should

2009 H1N1 Flu Situation UpdateKey Flu Indicatorseach week CDC analyzes information about influenza disease activity in the United states and publishes findings of key flu indicators in a report called FluView During the week of september 27 - october 3 2009 a review of the key indictors found that influenza activity increased in the United states Below is a summary of the most recent key indicators

O C T O B e r 2 0 0 9 | 11

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STATEWIDE REPRESENTATION

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The hiring of a lawyer is an important decision that should not be based solely upon advertisements Before you decide ask us to send you free written information about our qualifications and experience

consider and communicate their objectives which may in-clude one or more of the following (a) reducing transmis-sion among staff (b) protecting people who are at increased risk of influenza related complications from getting infected with influenza (c) maintaining business operations and (d) minimizing adverse effects on other entities in their supply chains

employers should expect to see a wide range of disease patterns across the country employers should base their strategies and response to influenza outbreaks on local infor-mation from local and state public health authorities some of the key indicators that should be used when making deci-sions on appropriate responses are

Disease severity (ie hospitalization and death rates) in n

the community where business is locatedextent of disease (number of people who are sick) in the n

communityAmount of worker absenteeism in your business or orga- n

nizationImpact of disease on workforce populations that are vul- n

nerable and at higher risk (eg pregnant women employ-ees with certain chronic medical conditions that put them at increased risk for complications of influenza) andother factors that may affect employeesrsquo ability to get to n

work such as school dismissals or closures due to high levels of illness in children or school dismissalsemployers need to plan now to be able to obtain updated

information on these indicators from state and local health departments in each community where they have a business presence and to respond quickly to the changing reality on the ground employers with more than one business location are encouraged to provide local managers with the authori-ty to take appropriate actions outlined in their business pan-demic plan based on the condition in each locality

Preparedness and Response Recommendations

PLANNING FOR 2009 H1N1 AND THE 2009ndash2010 INFLUENzA SEASON

This guidance is designed to help employers plan for and respond to two possible conditions 1) a continuation of the current level of severity of influenza as was observed during the spring and summer of 2009 and 2) a more severe outbreak The first situation is what is being experienced in some com-munities nowmdashan outbreak of similar severity of 2009 H1n1 to the spring However even if the severity of the virus does not change planners should expect that there will be more people who are ill in the fall and winter as 2009 H1n1 out-breaks coincide with the seasonal influenza season and this level of absenteeism may impact business operations A sec-ond situation involves an outbreak of greater severity includ-ing more people with severe illness and thus more people hospitalized for influenza complications more deaths from influenza and a probable escalation of absenteeism

12 | f L O r i d a p h a r m a C y T O d a y

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The Right Jobbull Flexible Schedulesbull Top Compensationbull Great Benefi tsbull Local or Travel

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Businesses should have an understanding of their normal seasonal absenteeism rates and know how to monitor their personnel for any unusual increases in absenteeism through the fall and winter Business continuity planners should as-sess their essential business functions now to determine at what threshold of absenteeism those functions would be threatened if absenteeism escalates Planners can then pre-pare to take more aggressive measures to protect continuity as absenteeism escalates towards those thresholds

even employers in communities that have not yet felt ef-fects from 2009 H1n1 influenza should plan for an influen-za outbreak this fall and winter and be ready to implement strategies to protect their workforce while ensuring continuity of operations During an influenza pandemic all sick people should stay home and away from the workplace hand wash-ing and covering coughs and sneezes should be encouraged and routine cleaning of commonly touched surfaces should be performed regularly If the severity of illness increases employers should be ready to implement additional measures while continuing to rigorously implement the interventions recommended for an outbreak similar to the springsummer 2009 H1n1 outbreak If severity increases public health offi-cials may recommend a variety of methods for increasing the physical distance between people (called social distancing) to reduce the spread of disease such as school dismissal child care program closure canceling large community gatherings canceling large business-related meetings spacing workers farther apart in the workplace canceling non-essential travel

and recommending work-from-home strategies for workers that can conduct their business remotely

Please remember employers should develop capabilities to respond to both scenarios and these two conditions serve only as a planning framework Businesses and other employ-ers should develop flexible capabilities to respond to either situation given the difficulties in accurately predicting the ex-tent and severity of 2009 H1n1 as it unfolds during the 2009ndash2010 influenza season Individual businesses may implement additional actions if they experience high absenteeism or business continuity is compromised In addition employers should be aware that other emergencies such as hurricanes or other natural disasters may happen during the fall and win-ter creating additional challenging problems for businesses and communities

WORk WITH STATE AND LOCAL PUBLIC HEALTH PARTNERS

Coordination with state and local health officials is strong-ly encouraged for all businesses so that timely and accurate information can guide appropriate responses in each location where their operations reside since the intensity of an out-break may differ according to geographic location local pub-lic health officials will be issuing guidance specific to their communities Also businesses could work with public health and community leaders to explore ways of improving accessi-bility of vaccination for the workforce and in the community

kEEP SICk WORkERS HOME

one of the best way to reduce the spread of influenza is to keep sick people away from well people However in the fall and winter it will not be possible to quickly determine if workers who are ill have 2009 H1n1 seasonal influenza or any number of other different conditions based on symptoms alone local and state health department surveillance infor-mation can be helpful to know when influenza is circulating in the community although the availability timeliness and amount of local information on when influenza is circulating may vary substantially from community to community

Workers who have symptoms of influenza-like illness3 are recommended to stay home and not come to work until at least 24 hours after their fever has resolved4 Regardless of the size of the business or the function or services that you pro-vide all employers should plan now to allow and encourage sick workers to stay home without fear of losing their jobs CDC recommends this strategy for all levels of severity em-ployers should plan now for how they will operate if there is significant absenteeism from sick workers However employ-ers should know that some persons with influenza including those ill with 2009 H1n1 do not have fever Therefore it will not be possible to exclude everyone who is ill with influenza from the workplace

BE PREPARED IF SCHOOLS DISMISS STUDENTS OR CHILD CARE PROGRAMS CLOSE

In some communities schools may dismiss students and childcare programs may close particularly if the severity in-

O C T O B e r 2 0 0 9 | 13

creases5 officials will make these decisions to protect pub-lic health but they will affect your businessrsquos functioning es-pecially affecting absenteeism Plan now to determine how you will operate if absenteeism spikes from increases in sick workers those who stay home to care for ill family members and those who must stay home to watch their children if dis-missed from school Businesses and other employers should prepare to institute flexible workplace and leave policies for these workers

Actions Employers Should Take NowReview or establish a flexible influenza pandemic plan n

and involve your employees in developing and reviewing your planConduct a focused discussion or exercise using your plan n

to find out ahead of time whether the plan has gaps or problems that need to be corrected before flu seasonHave an understanding of your organizationrsquos normal n

seasonal absenteeism rates and know how to monitor your personnel for any unusual increases in absenteeism through the fall and winterengage state and local health department to confirm n

channels of communication and methods for dissemina-tion of local outbreak informationAllow sick workers to stay home without fear of losing n

their jobsDevelop other flexible leave policies to allow workers to n

stay home to care for sick family members or for children if schools dismiss students or child care programs closeshare your influenza pandemic plan with employees and n

explain what human resources policies workplace and leave flexibilities and pay and benefits will be available to themshare best practices with other businesses in your com- n

munities (especially those in your supply chain) cham-bers of commerce and associations to improve communi-ty response efforts andAdd a ldquowidgetrdquo or ldquobuttonrdquo to your company Web page n

or employee Web sites so employees can access the lat-est information on influenza wwwcdcgovwidgets and wwwcdcgovsocialMediaCampaignsH1n1buttonshtml

Important Components of an Influenza Pandemic Plan

Be prepared to implement multiple measures to protect n

workers and ensure business continuity A layered ap-proach will likely work better than using just one mea-sureIdentify possible work-related exposure and health risks n

to your employees The occupational safety and Health Administration (osHA) has developed tools to determine if your employees are at risk of work-related exposures and if so how to respond (see wwwoshagovdsgtopics

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returns and Part B billingREDUCE claim resubmissionsINCREASE your profits

For more on how PPSC can maximize the potential of your independent pharmacy visit wwwppsconlinecom or call toll-free 888-778-9909

14 | f L O r i d a p h a r m a C y T O d a y

City of Tallahassee Declares October as American Pharmacists Month

Tallahassee Mayor John Marks has declared october as American Pharmacist Month In a procla-mation signed on october 1 2009 Mayor Marks urged all citizens to acknowledge the valuable servic-es of pharmacists to provide safe affordable and beneficial pharma-ceutical care services and prod-ucts to all citizens

The Florida Pharmacy Associa-tion wish to thank our FAMU in-tern Carina Davison for her work with the City of Tallahassee dur-ing her rotation here at the FPA of-fice

FROM THE GOVERNING BODY OFTHE CITY OF TALLAHASSEE

PROCLAMATIONWhereas pharmacy is one of the oldest of the health professions con-cerned with the health and well-being of all people andWhereas today there are over 254000 pharmacists practicing in the United States and over 400 pharmacists licensed in the city of Tallahassee providing services to assure the rational and safe use of all medications andWhereas the use of medication as a cost-effective alternative to more expensive medical procedures is becoming a major force in moderating overall health care costs andWhereas todays powerful medications require greater attention to the manner in which they are used by different patient population groups -both clinically and demographically andWhereas it is important that all users of prescription and nonprescrip-tion medications or their caregivers be knowledgeable about and share responsibility for their own drug therapy andWhereas the American Pharmacists Association and the Florida Phar-macy Association have declared October as American Pharmacists Month with the theme Know Your Medicines - Know Your Pharmacist

Now therefore be it resolved that I John Marks do hereby proclaim October as

American Pharmacists Month

in the city of Tallahassee and urge all our citizens to acknowledge the valuable services of pharmacists to provide safe affordable and beneficial pharmaceutical care services and products to all citizens

O C T O B e r 2 0 0 9 | 15

pandemicfluindexhtml)Review human resources policies to make sure that poli- n

cies and practices are consistent with public health rec-ommendations and are consistent with existing state and federal workplace laws (for more information on employ-er responsibilities employers should visit the Department of laborrsquos and the equal employment opportunity Com-missionrsquos websites at wwwdolgov and wwweeocgov)Allow employees to stay home if they are ill have to care n

for ill family members or must watch their children if schools or childcare facilities closeexplore whether you can establish policies and practices n

such as flexible worksites (eg telecommuting) and flex-ible work hours (eg staggered shifts) when possible to increased the physical distance among employees and be-tween employees and others if local public health author-ities recommend the use of social distancing strategies ensure that you have the information technology and in-frastructure needed to support multiple workers who may be able to work from homeIdentify essential business functions essential jobs or n

roles and critical elements within your supply chains (eg raw materials suppliers subcontractor servicesproducts and logistics) required to maintain business op-erations Plan for how your business will operate if there is increasing absenteeism or these supply chains are inter-ruptedset up authorities triggers and procedures for activat- n

ing and terminating the companyrsquos response plan alter-ing business operations (eg possibly changing or closing operations in affected areas) and transferring business knowledge to key employees Work closely with your lo-cal health officials to identify these triggersPlan to minimize exposure to fellow employees or the n

public if public health officials call for social distancingestablish a process to communicate information to work- n

ers and business partners on your 2009 H1n1 influenza response plans and latest 2009 H1n1 influenza informa-tion Anticipate employee fear anxiety rumors and mis-information and plan communications accordingly

over the past several years HHs CDC DHs osHA eeoC and other federal partners have developed guidelines including checklists to assist businesses industries and oth-er employers in planning for a pandemic outbreak Review these resources to assist in your planning efforts wwwflugovplanworkplaceplanningindexhtml

The recommendations that follow provide guidance on how employers can develop strategies and respond to two levels of severity local conditions will influence the deci-sions that public health officials make regarding community-level strategies employers should take the time now to learn about plans in place in each community where they have a presence

Recommended Employer Responses for the 2009-2010 Flu SeasonRecommended Action Steps under Current Flu Conditions (similar severity as in SpringSummer 2009)

If the severity of illness in the fall and winter is similar to that observed in the spring and summer of 2009 the effects of 2009 H1n1 influenza may not have substantial impacts on absenteeism though some increase in absenteeism over the spring season is anticipated When larger numbers of people become ill correspondingly larger numbers of people will be-come seriously ill and may require hospitalization

SICK PERSONS SHOuLD STAY HOMEAdvise workers to be alert to any signs of fever and any n

other signs of influenza-like illness6 before reporting to work each day and notify their supervisor and stay home if they are ill employees who are ill should not travel while they are illCDC recommends that employees with influenza-like ill- n

ness remain at home until at least 24 hours after they are free of fever (100deg F [378deg C] or greater) or signs of a fever without the use of fever-reducing medicationsexpect sick employees to be out for about 3 to 5 days in n

most cases even if antiviral medications are usedensure that your sick leave policies are flexible and con- n

sistent with public health guidance and that employees are well aware of these policiesTalk with companies that provide your company with n

contract or temporary workers about the importance of sick workers staying home and encourage them to devel-op non-punitive leave policiesDo not require a doctorrsquos note for workers who are ill with n

influenza-like illness to validate their illness or to return to work as doctorrsquos offices and medical facilities may be extremely busy and may not be able to provide such doc-umentation in a timely way employees who are well but who have an ill family mem- n

ber at home with influenza can go to work as usual How-ever these employees should monitor their health every day and notify their supervisor and stay home if they be-come ill employers should maintain flexible policies that permit employees to stay home to care for an ill family member employers should be aware that more workers may need to stay at home to care for ill children or other ill family members than is usual

SICK EMPLOYEES AT WORK SHOuLD BE ASKED TO gO HOME

CDC recommends that workers who appear to have an n

influenza-like illness upon arrival or become ill during the day be promptly separated from other workers and be advised to go home until at least 24 hours after they are free of fever (100deg F [378deg C] or greater) or signs of a fever without the use of fever-reducing medications Those who become ill with symptoms of an influenza-like n

illness during the work day should be

16 | f L O r i d a p h a r m a C y T O d a y

o separated from other workers and asked to go home promptly (For recommendations on personal protec-tive equipment for a person assisting the ill employee see Interim Recommendations for Facemask and Res-pirator Use to Reduce novel Influenza A (H1n1) Vi-rus Transmission httpwwwcdcgovh1n1flumaskshtm)

o When possible and if they can tolerate it workers with influenza-like illness should be given a surgical mask to wear before they go home if they cannot be placed in an area away from others

If an employee becomes ill at work inform fellow employ- n

ees of their possible exposure in the workplace to influen-za-like illness but maintain confidentiality as required by the Americans with Disabilities Act (ADA) For more in-formation on privacy issues please refer to httpwwwflugovfaqworkplace_questionsequal_employmentin-dexhtmlPrivacyIssues employees exposed to a sick co-worker should monitor themselves for symptoms of influ-enza-like illness and stay home if they are sick

COVER COugHS AND SNEEzESInfluenza viruses are thought to spread mainly from per- n

son to person in respiratory droplets of coughs and sneez-es Provide employee messages on the importance of cov-ering coughs and sneezes with a tissue or in the absence of a tissue onersquos sleeve Place posters in the worksite that encourages cough and sneeze etiquetteProvide tissues and no-touch disposal receptacles for use n

by employees

IMPROVE HAND HYgIENEInfluenza may be spread via contaminated hands In- n

struct employees to wash their hands often with soap and water or use an alcohol-based hand cleaner especially af-ter coughing or sneezing Place posters in the worksite that encourage hand hygieneProvide soap and water and alcohol-based hand sanitiz- n

ers in the workplace ensure that adequate supplies are maintained If feasible place hand sanitizers in multiple locations or in conference rooms to encourage hand hy-giene

CLEAN SuRFACES AND ITEMS THAT ARE MORE LIKELY TO HAVE FREquENT HAND CONTACT

Frequently clean all commonly touched surfaces in the n

workplace such as workstations countertops and door-knobs Use the cleaning agents that are usually used in these areas and follow the directions on the labelno additional disinfection beyond routine cleaning is rec- n

ommendedENCOuRAgE EMPLOYEES TO gET VACCINATED

encourage your employees to get vaccinated for seasonal n

influenza For information on groups prioritized for sea-sonal influenza vaccines please see httpwwwcdcgovfluprotectkeyfactshtm encourage your employees also to get vaccinated for 2009 n

H1n1 influenza when vaccines are available to them Dif-ferent groups are prioritized for 2009 H1n1 influenza than for seasonal influenza For information on groups prioritized for H1n1 influenza vaccine please see httpwwwcdcgovh1n1fluvaccinationaciphtm offer opportunities at your worksite for influenza vacci- n

nation Consider granting employees time off from work to get vaccinated if not offered at the worksiteReview the health benefits you offer employees and work n

with insurers to explore if they can cover the costs of in-fluenza vaccination

TAKE MEASuRES TO PROTECT EMPLOYEES WHO ARE AT HIgHER RISK FOR COMPLICATIONS OF INFLuENzA

People at higher risk for complications from influenza in- n

clude pregnant women children under 5 years of age adults and children who have chronic lung disease (such as asthma) heart disease diabetes diseases that suppress the immune system and other chronic medical conditions and those who are 65 years or older7 Inform employees that some people are at higher risk of n

complications from influenza and that if they are at high-er risk for complications they should check with their health care provider if they become ill early treatment with antiviral medications is very important for people at high risk because it can prevent hospitalizations and deathsencourage employees recommended for seasonal influ- n

enza vaccine and 2009 H1n1 vaccines to get vaccinated as soon as these vaccines are available For information on groups prioritized for seasonal and H1n1 vaccines please see httpwwwcdcgovfluprotectkeyfactshtm and httpwwwcdcgovh1n1fluvaccinationaciphtmemployees who become ill and are at increased risk of n

complications from influenza and ill employees who are concerned about their illness should call their health care provider for advice Their health care provider might want them to take antiviral medications to reduce the likelihood of severe complications from the influenzasee n httpwwwcdcgovh1n1fluqahtm for more infor-mation

PREPARE FOR INCREASED NuMBERS OF EMPLOYEE ABSENCES DuE TO ILLNESS IN EMPLOYEES AND THEIR FAMILY MEMBERS AND PLAN WAYS FOR ESSENTIAL BuSINESS FuNCTIONS TO CONTINuE

employers should plan to monitor and respond to ab- n

senteeism at the workplace Implement plans to contin-ue your essential functions in case you experience high-er than usual absenteeism elevated absentee rates can be due to sick workers those who need to stay home and care for others or from workers with conditions that make them at higher risk for complications from influen-za and who may be worried about coming to work Cross-train personnel to perform essential functions so n

that the workplace is able to operate even if key staff are absent

O C T O B e r 2 0 0 9 | 17

Assess your essential functions and the reliance that oth- n

ers and the community have on your services or products Be prepared to change your business practices if need-ed to maintain critical operations (eg identify alternative suppliers prioritize customers or temporarily suspend some of your operations if needed)

ADVISE EMPLOYEES BEFORE TRAVELINg TO TAKE CERTAIN STEPS

Advise workers to check themselves for fever and any n

other signs of influenza-like illness before starting travel and notify their supervisor and stay home if they are illAdvise employees who will be traveling or on temporary n

assignment about precautions they may need to take to protect their health and who to call if they become illemployees who become ill while traveling and are at in- n

creased risk of complications from influenza and oth-ers concerned about their illness should promptly call a health care provider for adviceensure employees who become ill while traveling or on n

temporary assignment understand that they should noti-fy their supervisor If outside the United states ill employees should fol- n

low your companyrsquos policy for obtaining medical care or contact a health care provider or overseas medical assis-tance company to assist them with finding an appropriate health care provider in that country if needed A Us con-sular officer can help locate health care services However Us embassies consulates and military facilities do not have the legal authority capability and resources to evac-uate or give medications vaccines or medical care to pri-vate Us citizens overseassee CDCrsquos Travel Website ( n httpwwwncdcgovtrav-elcontentnovel-h1n1-fluaspx) for more information for travelers

PREPARE FOR THE POSSIBILITY OF SCHOOL DISMISSAL OR TEMPORARY CLOSuRE OF CHILD CARE PROgRAMS

Although school dismissals or closures of child care pro- n

grams are not likely to be generally recommended at this level of severity they are possible in some jurisdictions Be prepared to allow workers to stay home to care for n

children if schools are dismissed or child care programs are closed strongly recommend that parents not bring their children n

with them to work while schools are dismissedensure that your leave policies are flexible and non-puni- n

tive Cross-train employees to cover essential functions n

Read CDCrsquos Guidance for state and local Public Health n

officials and school Administrators for school (K-12) Re-sponses which can be found at httpwwwcdcgovh1n-1fluschoolsschoolguidancehtm to better understand the conditions under which schools may be dismissed

Under Conditions with Increased Severity Compared to SpringSummer 2009

If 2009 H1n1 becomes more severe than during springsummer 2009 absenteeism will likely be far greater and ad-ditional protective measures to slow the spread of influenza may be considered Check with your local health department for the extent and severity of disease activity in your commu-nity and for recommendations for necessary measures Deci-sions about what tools should be used during a severe 2009 H1n1 outbreak should be based on the observed severity of the event its impact on specific subpopulations the need to protect workers the expected benefit of the interventions the feasibility of success of implementing these measures the di-rect and indirect costs of different interventions and the ef-fects on critical infrastructure health care delivery and soci-ety The following are measures that should be considered if influenza severity increases and are meant for use in addition to the measures outlined above

CONSIDER ACTIVE SCREENINg OF EMPLOYEES WHO REPORT TO WORK

If influenza severity increases at the beginning of the n

workday or with each new shift all employees should be asked about symptoms consistent with an influenza ill-ness8 such as fever or chills AnD cough or sore throat If the severity or the impact of influenza increases CDC rec-ommends that persons with an influenza-like illness not come to work or travel and remain at home for at least 7 days even if symptoms resolve sooner Individuals who are still sick 7 days after they become ill should continue to stay home until at least 24 hours after symptoms have resolved If influenza severity increases CDC recom-mends that people stay home at least 7 days whether or not antiviral medications are usedMake sure your sick leave policies are flexible and consis- n

tent with public health guidance and that your employ-ees are aware of these policies Do not require a doctorrsquos note for workers who are ill with n

influenzaContinue to advise workers to check for any signs of ill- n

ness before reporting to work each dayMake contingency plans for increased absenteeism n

caused by illness in workers or illness in workersrsquo family members that would require them to stay home Planning for absenteeism could include cross-training current em-ployees or hiring temporary workers

CONSIDER ALTERNATIVE WORK ENVIRONMENTS FOR EMPLOYEES AT HIgHER RISK FOR COMPLICATIONS OF INFLuENzA DuRINg PERIODS OF INCREASED INFLuENzA ACTIVITY IN THE COMMuNITY

employees with an underlying chronic medical condition n

or who are pregnant should consider calling their health care provider for advice about how to reduce their risk of exposure to influenza and if they get sick how best to get early treatment for influenzaIf influenza severity increases and if influenza transmis- n

sion is high in the community employers may want to evaluate their work environment to see how they can re-

18 | f L O r i d a p h a r m a C y T O d a y

duce the number of people that high-risk employees come in contact with such as exploring options for telecom-muting from home (if feasible) employers can also think about how workers at higher risk for influenza compli-cations could be reassigned to duties that have minimal contact with other employees clients or customers If these workers cannot be reassigned duties to reduce con-tact with others are concerned about their ability to avoid influenza at the workplace or will be in crowded condi-tions at work or while commuting to work then consider allowing employees at higher risk for influenza complica-tions to stay home from workCDC recommends that ill workers at higher risk of com- n

plications from influenza seek early treatment if they be-come illsee n httpwwwcdcgovh1n1fluqahtm for more infor-mation

CONSIDER INCREASINg SOCIAL DISTANCINg IN THE WORKPLACE

If influenza severity increases local public health offi- n

cials may recommend that employers implement mea-sures to increase the physical distance between people in the workplace to reduce the spread of influenza The goal should be for there to be at least 6 feet of distance between people at most times This is not a simple or easy strategy and would typically require considerable flexibility These measures may include avoiding crowded work settings canceling business-related face-to-face meetings spacing workers farther apart canceling non-essential travel in-creasing use of teleworking and using staggered shifts to allow fewer workers to be in the workplace at the same time9

If appropriate for your type of business and feasible re- n

view or develop policies for teleworking including an as-sessment of the capabilities and gaps of your current com-puter systems and availability of technical support Take remedial steps if needed and test your system in advance to assure it can handle an increase in remote usersRecommendations to increase social distancing may af- n

fect community functioning Because supply chain issues may be affected make sure you have plans for back-up suppliers

CONSIDER CANCELINg NON-ESSENTIAL BuSINESS TRAVEL AND ADVISINg EMPLOYEES ABOuT POSSIBLE DISRuPTIONS WHILE TRAVELINg OVERSEAS

If the severity of the outbreak worldwide increases in the n

fall or winter public health officials may recommend so-cial distancing strategies which include canceling non-es-sential travel and travel restrictions may be enacted by some countries which may limit the ability of employees to return home if they become ill while on travel statusIf influenza severity increases travelers should also be n

prepared for travel delays health screenings and other activities targeted towards travelers Provide information to travelers about contingency plans and how their travel

can be rebooked for these possible delays

PREPARE FOR SCHOOL DISMISSAL OR CLOSuRE OF CHILD CARE PROgRAMS

school dismissals and closure of child care programs are n

more likely at higher levels of severity Be prepared to allow workers to stay home to care for their children if schools are dismissed or child care programs are closed If dismissal is needed schools are being advised to dis-miss students for at least 5 to 7 calendar days or longer if necessary encourage employees who perform essential functions n

and who have children to plan for contingencies should local child care programs close or schools dismiss stu-dents Be prepared for prolonged absenteeism if schools dismiss n

students for an extended time Make sure your leave poli-cies are flexible and non-punitive employers should strongly recommend that parents not n

bring their children with them to work while schools are dismissedImplement flexible workplace policies like teleworking n

and staggered shifts Cross-train employees to cover essential functions n

Read CDCrsquos school guidance which can be found at n

httpwwwcdcgovh1n1fluschoolsschoolguidancehtm to better understand the conditions under which schools may be dismissed

OTHER CONSIDERATIONSAs part of their comprehensive pandemic planning n

some public and private sector employers have stock-piled or otherwise arranged for influenza antiviral drugs to be available for their employees during a pandemic To guide these efforts HHs released guidance to busi-nesses in 2008 entitled Considerations for Antiviral Drug Stockpiling by Employers in Preparation for an Influenza Pan-demic (httpwwwflugovvaccineantiviral_employershtml) see updated interim guidance on the use of antivi-ral agents for treatment and prophylaxis of 2009 H1n1 in-fluenza infection at httpwwwcdcgovh1n1flurecom-mendationshtmemployers should be aware that the severity of 2009 n

H1n1 influenza could change rapidly therefore local public health recommendations to communities and busi-nesses could be revised quickly Planners should identi-fy sources of timely and accurate information so they are aware of changes to recommendations and can promptly implement revised or additional measures recommended by local public health officials

O C T O B e r 2 0 0 9 | 19

The Florida Pharmacy Association 2009 ResolutionsPresented to the House of Delegates

It is an honor to serve as your 2009-2010 FPA speaker of the House of Delegates I have the privilege of follow-ing in the footsteps of some of FPArsquos most effective and prominent leaders and speakers including most recently suzanne Kelly

The House meeting held during the 2009 FPA An-nual Meeting in st Augustine was a lively and exciting meeting for our association If you missed the meeting or unaware of how the FPA House of Delegates serves itrsquos membership I strongly encourage you to contact myself directly or any of the FPA House of Delegates Board of Di-rectors Any one of us will be happy to get you involved and excited about this group and share with you how ev-ery resolution directly impacts the direction of the associ-ation and you its member

The FPA Board of Directors of the House of Delegates is made up of the following faithful memberssuzanne Kelly ndash Chair of the House of Delegates Board

of DirectorsAlexander Pytlarz ndash speaker of the House of DelegatesWilliam Riffee ndash Vice-speakershannon Zandy ndash DirectorCaridad Ferree ndash DirectorJosh Fields ndash Director Karen Whalen ndash FPA PresidentHumberto Martinez ndash FPA President-electMichael A Mone ndash ParliamentarianMichael A Jackson ndash FPA executive Vice President amp

Ceoon behalf of the House Board of Directors Irsquod like to

welcome the newest members of the House Board of Di-

rectors Dean William Riffee Vice-speaker and Caridad Ferree Director were elected at this years FPA Annual Meeting We look forward to their involvement

The House also had the privilege of introducing two new invited organizations to the House They are nige-rian Pharmacists Association and Florida Independent Pharmacy network

If any member represents an organization that wants to be involved in the House of Delegates please contact me directly I will be happy to work with you and your or-ganization so you are represented within the House and have your voice heard by all FPA members

At this past yearrsquos meeting the House reviewed eight submitted resolutions Below is a summary of the actions of the each resolution that the House took and to what committee the adopted resolutions were referred to by your President Karen Whalen Please review these reso-lutions as they will impact the policies and direction of our association If you have any comments or questions please feel free to contact me or any member of the House Board As always itrsquos never too early to start thinking about possible resolutions for next years House

Thank you for the opportunity to serve you and the Florida Pharmacy Association

Best regards

Alexander Pytlarz2009-2010 speaker of the House of Delegates

RESOLUTION 1

Pharmacy Manager in Charge Man-date rule changes for the State require to be on-site 24 hr perweekBroward County Pharmacist Associa-tion

Whereas There is no statutory or rule requirement for a Manager in Charge to be present in the Pharmacy

Whereas over the last few years in-ternet practices and non-pharmacist owned pharmacies have flourished in practice settings that were poorly su-pervised

Be it Resolved that the FPA propose that the Florida Pharmacy Board pro-mulgate rules which safeguard the public by having a Responsible par-ty (Pharmacy Manager of Record) on

premises 24 hrs per given week

Contact Broward County Pharmacist AssocDaniel P sweet RPhPast President Board Member954-232-8202

Intent To protect the public from non-pharmacist owners to influence the practice of pharmacy by placing a phar-

20 | f L O r i d a p h a r m a C y T O d a y

macist on record without reviewing the day to day operations of Pharmacy Practice and its Rules and statues

Resolution not Adopted

Respectfully submitted

Broward County Pharmacist Associa-tion

RESOLUTION 2

Repeal 40 hr Rule for Community Pharmacy PermitBroward County Pharmacist Associa-tion

Whereas the Practice of Pharmacy is evolving to an Information Profession where pharmacists will be reviewing medication therapy

Whereas in populated areas there are multiple pharmacies in a compact radi-us

Be it Resolved that the Florida Board of Pharmacy act in repealing the 40 hr rule for Community Pharmacy Permit withstanding that there is a pharmacy within 5 miles with extended hours or a 24 hr pharmacy within 2 miles

Contact Daniel P sweet RPhPast President Board Member Broward County Pharmacist Assoc954-232-8202

Intent With Pharmacy Practice evolv-ing with more Pharmacists are going to use there education to create office type practice The Pharmacist will need to be off-site to review medications and council patients on the use of their medication

Respectfully submittedBroward County Pharmacist Associa-tion

Motion to amendAmendment passedspeaker unable to determine the posi-

tion of the House on voice votestanding vote called for by the House speakerResolution adopted on standing vote

RESOLUTION 3

Physician Dispensing ndash Limiting Scope as Pertains to Controlled Sub-stancesBroward County Pharmacists Associa-tion

Whereas a significant problem regard-ing the misuse of controlled substances in our state has been identified and

Whereas the checks and balances that the pharmacist brings to the equation of reducing the potential for misuse of controlled substances due to conflicts of interest is circumvented in the phy-sician dispensing model

Be it Resolved that the FPA seek legis-lative changes to limit the in-office dis-pensing of controlled substances up to and not more than a three (3) day sup-ply Contact Broward County Pharmacists AssociationDaniel P sweet RPhPast President Board Member954-232-8202

Motion to amend the phrase ldquowork with the respective BoardsrdquoAmendment is adoptedMotion to amend by adding the words ldquouprdquo and the words ldquoand not more thanrdquo to the first sentenceMotion to amend passesMotion to amend by striking the last sentence of the resolveMotion to amend passesResolution Adopted

Intent With the advent of Pain Man-agement Clinics with Dispensaries Pa-tient safety and control is lost by not having a Pharmacist oversee the pa-tientsrsquo therapeutic management with-in the guidelines of the FDA and Con-trolled substance Abuse Act

RESOLUTION 4

Pharmacy Service TaxBroward County Pharmacists Associa-tion

Whereas Pharmacy has assumed the burden of absorbing the costs associat-ed with receiving and sending data to all sources

Whereas these costs continue to grow and are not associated with the cost of the product or filling fee received then

Be it Resolved that the FPA work with the proper legislative process for the state to create a TAX for prescriptions to cover all communication costs inher-ent in Rx processing for e-prescribing communications to PBMrsquos and data re-porting costs for handling in-state re-porting of Controlled substances

Be it Further Resolved that the col-lected tax be used only for Pharmacy Claims Administrative Costs in han-dling the claims and bear no economic andor administrative burdens on the pharmacy

Resolution not Adopted

Contact Broward County Pharmacists AssociationDaniel P sweet RPhPast President Board Member954-232-8202

Intent With greater dependency on data network and associated costs to all pharmacies we have been placed in a pinch With the state controlling the process we gain on many fronts First no back-end costs on any Rx claim next the state can legally charge PBMrsquos un-der contract and will be responsible for collecting the tax and lastly the state can use their collective bargain-ing power to reduce the costs associat-ed with data transmission

Respectfully submitted

Broward County Pharmacists Associa-tion

O C T O B e r 2 0 0 9 | 21

RESOLUTION 5

RPh Not a Degree Designationleon County Pharmacy Association

WHEREAS pharmacists with a PharmD degree very proudly and rightfully use their degree designation of PharmD with their name and

WHEREAS pharmacists with a BsP degree generally use RPh with their name and

WHEREAS the designation of RPh for Registered Pharmacist is not a degree designation and was enacted into the original Florida Pharmacy Practice Act of 1889 The current practice act defines a pharmacist as a licensed Pharmacist lPh

THEREFORE the leon County Phar-macy Association moves that the FPA promote the use of the BPharm desig-nation for the BsP degree in place of the RPh designation which no longer is ref-erenced in the Florida Pharmacy Prac-tice Act

Motion to amendMotion to amend failsResolution Adopted

Contact persons Michael A Jackson- (850) 222- 2400Jim Powers- (850) 422- 0079

Background The resolution pretty well speaks for itself however it should be noted that in most national pharmacy publications pharmacists with a BsP degree are using the BPharm designa-tion behind their names In research-ing Dr Gene Gramlingrsquos book ldquoA His-tory of Pharmacy in Floridardquo it has the Florida Pharmacy Practice Act of 1889 which reads as follows section 4 Be it further enacted that the Board of Phar-macy shall register in a suitable book the names and places of residence of all persons to whom they issue certifi-cates and dates thereof It shall be the duty of said Board of Pharmacy to reg-ister without examination as registered pharmacists all pharmacists and drug-gists who are engaged in business in

the state of Florida at the passage of this act as owners or principals of stores or pharmacies In any village town or city of more than 200 inhabitants helliprdquo

RESOLUTION 6

Long Term Care regulatory frame-workFlorida Chapter of American society of Consultant Pharmacist

Whereas the Florida regulatory frame-work for long-term care pharmacy should be reviewed periodically to en-sure that it is consistent with current practice the FPA legislative commit-tee resolves to coordinate with the Flor-ida Chapter of the American society of Consultant Pharmacists to review the current regulatory framework for long-Term Care pharmacy in Florida

Resolved that the FPA legislative Committee coordinate with the Flori-da Chapter of the American society of Consultant Pharmacists to review the current regulatory framework for long-Term Care Pharmacy in Florida

Resolve substituted by the sponsor and accepted by the House substitute Resolution Adopted

Contact name and Phone stephen J Grabowski (727) 945-0760

Problem As the number of our nationrsquos seniors has grown so to have the de-mands and challenges placed upon the pharmacists serving those seniors who live in long-term care facilities since the practice of pharmacy has evolved over the years with increased workload demands changing roles of pharmacy technicians and new technologies so too have the regulatory guidelines and oversight responsibilities of the state boards

Intent not only will the practice of pharmacy need to adapt to the needs of seniors in long-term care facilities but state board of pharmacies and phar-macists under their preview must un-

derstand the impact of these changes Pharmacists practicing in long-term care must collaborate with state boards of pharmacy to update practice acts to ensure the protection of the health safety and welfare of the public

RESOLUTION 7

Evaluation of the ldquoPedigree Docu-mentation Programrdquo as stated in Flor-ida Statue 499Alachua County Association of Phar-macists

Whereas Florida statue 499 states that its purpose is to safeguard the public health and promote the public welfare by protecting the public from injury by product use and by merchandising de-ceit involving drugs devices and cos-metics

Whereas Pharmacies Pharmacists Pharmacy Wholesalers Pharmaceuti-cal Manufacturers and Pharmacy Re-packagers are all an integral part of this program

Whereas there is financial costs associ-ated with this program

Whereas there are penalties associated with this program

RESOLVED - The FPA request the Agency for Health Care Administra-tion to evaluate the ldquoPedigree Docu-mentation Programrdquo (49901212) to de-termine effectiveness and identification of improvements in the program for the protection of the public safety

Problem - The state of Florida enact-ed the ldquoPedigree Documentation Pro-gramrdquo (49901212) to keep adulterated and misbranded pharmaceuticals from consumers

Intent - To determine the effectiveness of the ldquoPedigree Documentation Pro-gramrdquo in achieving its purpose

Resolution Adopted

22 | f L O r i d a p h a r m a C y T O d a y

sion forward Please join us in Talla-hassee next March

FPA Legislative Key Contact Network

The FPA legislative Committee would like to match up at least one pharmacist with every key legisla-tor in the state If you currently have a relationship with one of your state legislators or if you are willing to take the steps listed above to be one of our grassroots advocates we want to know sign up to be a member of our Key legislative Contacts If you can help please let us know by con-tacting any member of the legisla-tive Committee listed below or you may contact me directly at klwizcomcastnet

lastly your legislative Commit-tee deserves a BIG ldquoThank Yourdquo for their time and effort These mem-bers have stepped up to help our profession grow and prosper Fol-lowing is a list of the members of the 2009-2010 FPA legislative Commit-teeDavid AndrewsDon BergemannGary DalinMitchell FingerhutAmy FerrolRamy GabrielMark HobbsMichael JacksonHumberto MartinezMark PercifieldManny PrieguezAlexander PytlarzTeysha RichardsonWilliam RiffeeTheresa Tollenorman TomakaAmanda Waltemathlori WeemsKaren WhalenRobert WilburChristine Yocum

Ken Wisniewski2009-2010 legislative Committee Chair

Viewpoint continued from page 5Respectfully submitted

Alachua County Association of Phar-macists

RESOLUTION 8

Continuous quality Improvement Program-Program EvaluationAlachua County Association of Phar-macists

Whereas the CQI Program is a system of standards and procedures to identify and evaluate quality-related events and improve patient care

Whereas some of the main goals of FPA and the Board of Pharmacy is to improve patient care and safety

Whereas an evaluation of the CQI Pro-gram may identify improvements that could be incorporated into the pro-gram

Whereas information about patient safety practices obtained from the pro-gram evaluation would be helpful if shared with the pharmacists of Florida and the nation

Resolved that the FPA request the Flor-ida Board of Pharmacy to conduct a Program evaluation of the Continuous Quality Improvement Program (64B16-27300)

Problem- since the enactment of 64B16-27300 Continuous Quality Improve-ment (CQI) Program there has not been a program evaluation

Intent- The evaluation of the CQI Pro-gram for effectiveness

Respectfully submittedAlachua County Association of Phar-macists

Resolution Adopted

JOIN TODAY

Florida Pharmacy Association

O C T O B e r 2 0 0 9 | 23

RESOLUTION 1Pharmacy Manager in Charge Man-date rule changes for the State require to be on-site 24 hr perweekBroward County Pharmacist Associa-tion Whereas There is no statutory or rule requirement for a Manager in Charge to be present in the PharmacyWhereas over the last few years in-ternet practices and non-pharmacist owned pharmacies have flourished in practice settings that were poorly su-pervisedBe it Resolved that the FPA propose that the Florida Pharmacy Board pro-mulgate rules which safeguard the public by having a Responsible par-ty (Pharmacy Manager of Record) on premises 24 hrs per given weekContact Broward County Pharmacist AssocDaniel P sweet RPhPast President Board Member954-232-8202Intent To protect the public from non-pharmacist owners to influence the practice of pharmacy by placing a phar-macist on record without reviewing the day to day operations of Pharmacy Practice and its Rules and statuesResolution Not AdoptedRespectfully SubmittedBroward County Pharmacist Associa-tion

RESOLUTION 2

Repeal 40 hr Rule for Community Pharmacy PermitBroward County Pharmacist Associa-tion Whereas the Practice of Pharmacy is evolving to an Information Profession where pharmacists will be reviewing medication therapyWhereas in populated areas there are multiple pharmacies in a compact radi-usBe it Resolved that the Florida Board of Pharmacy act in repealing the 40 hr rule for Community Pharmacy Permit withstanding that there is a pharmacy within 5 miles with extended hours or a 24 hr pharmacy within 2 milesContact

Daniel P sweet RPhPast President Board Member Broward County Pharmacist Assoc954-232-8202 Intent With Pharmacy Practice evolv-ing with more Pharmacists are going to use there education to create office type practice The Pharmacist will need to be off-site to review medications and council patients on the use of their medicationRespectfully SubmittedBroward County Pharmacist Associa-tion Motion to amendAmendment passedSpeaker unable to determine the posi-tion of the House on voice voteStanding vote called for by the House SpeakerResolution adopted on standing vote

RESOLUTION 3

Physician Dispensing ndash Limiting Scope as Pertains to Controlled Sub-stancesBroward County Pharmacists Associa-tionWhereas a significant problem regard-ing the misuse of controlled substances in our state has been identified andWhereas the checks and balances that the pharmacist brings to the equation of reducing the potential for misuse of controlled substances due to conflicts of interest is circumvented in the phy-sician dispensing model Be it Resolved that the FPA seek legis-lative changes to limit the in-office dis-pensing of controlled substances up to and not more than a three (3) day sup-ply Contact Broward County Pharmacists Associa-tionDaniel P sweet RPhPast President Board Member954-232-8202Motion to amend the phrase ldquowork with the respective BoardsrdquoAmendment is adoptedMotion to amend by adding the words ldquouprdquo and the words ldquoand not more thanrdquo to the first sentenceMotion to amend passes

Motion to amend by striking the last sentence of the resolveMotion to amend passesResolution AdoptedIntent With the advent of Pain Man-agement Clinics with Dispensaries Pa-tient safety and control is lost by not having a Pharmacist oversee the pa-tientsrsquo therapeutic management with-in the guidelines of the FDA and Con-trolled substance Abuse Act

RESOLUTION 4

Pharmacy Service TaxBroward County Pharmacists Associa-tionWhereas Pharmacy has assumed the burden of absorbing the costs associat-ed with receiving and sending data to all sourcesWhereas these costs continue to grow and are not associated with the cost of the product or filling fee received thenBe it Resolved that the FPA work with the proper legislative process for the state to create a TAX for prescriptions to cover all communication costs inher-ent in Rx processing for e-prescribing communications to PBMrsquos and data re-porting costs for handling in-state re-porting of Controlled substancesBe it Further Resolved that the col-lected tax be used only for Pharmacy Claims Administrative Costs in han-dling the claims and bear no economic andor administrative burdens on the pharmacyResolution Not AdoptedContact Broward County Pharmacists Associa-tionDaniel P sweet RPhPast President Board Member954-232-8202Intent With greater dependency on data network and associated costs to all pharmacies we have been placed in a pinch With the state controlling the process we gain on many fronts First no back-end costs on any Rx claim next the state can legally charge PBMrsquos un-der contract and will be responsible for collecting the tax and lastly the state can use their collective bargain-ing power to reduce the costs associat-

EmailFax Network HotlineReceive up-to-date and up-to-the-min-ute information on legislative Develop-ments Board of Pharmacy changes and other topics affecting the profession of pharmacy Call FPA Member services at (850) 222-2400 ext 110 ndash rsimmonspharmviewcom

Tax ResourceProvides defense and protection of your assets when you are audited Tax Resource will defend their clients for any income tax audit Federal or state for any tax year Tax Resource pio-neered the tax audit service business and is the largest audit defense firm in the United states Call (800) 92-AUDIT (800-922-8348)

Atlantic Coupon Redemption Center Receive payment in 25 working days of couponrsquos face value plus a rebate of 16 cents based on store volume Call Meredith McCord (800) 223-0398

Florida Commerce Federal Credit Union The chief objective of a credit union is not generating profits for stockholders but to provide service to its member The members benefit by getting attrac-tive returns on savings loans made at fair rates of interest plus enhanced and expanded services This is probably one of the best deals around Call (850) 488-0035

Collection Services For past due accounts call I C system Inc Call (800) 328-9595

Other Member Benefits n Discounted Continuing education

Programsn Monthly Issues of the Florida Phar-

macy Today Journal

ITC Deltacom offering FPA members exclusive associa-tion discounts on telecommunication ser-vices including local services long dis-tance data networks telephone systems and dedicated internet access Call 850-701-3200 or visit wwwitcdeltacomcom

Pharmacy Resource Materials FPA provides the most recent and rele-vant resources necessary to meet your professional needs This includes the Continuous Quality Improvement Manu-al Controlled substance Inventory Book-lets and Pharmacy signs Please call FPA Members services for more information 850-222-2400 ext 110

FPA Website Visit our FPA Website at wwpharmviewcom The site launched in December 2004 and revised in october 2008 includes a members only section The website of-fers a secure server so that you can reg-isters for Ce programs renew your mem-bership or purchase resources materials with your credit card

in keeping with a tradition of offering our members real benefits the Florida Pharmacy association (FPa) is proud to announce the introduction of sponsored discount Benefits Program these vendors are dedicated to providing an excellent value to all FPa members and associates to take advantage of benefits contact the vendors directly at the numbers listed below and identify yourself as a FPa member and have your membership id number handy

MEMBERSHIP MATTERS

Florida Pharmacy Association

24 | f L O r i d a p h a r m a C y T O d a y

Wyeth Bowl of Hygeia

Awarded to a pharmacist for out-standing community service above and beyond professional duties The use of the following selection criteria is re-quired

The recipient must be a Florida li- n

censed pharmacist and a member of FPAThe recipient must be living Awards n

are not presented posthumouslyThe recipient has not previously re- n

ceived the awardThe recipient is not currently serving n

nor has heshe served within the immediate past 2 years on its award committee or an officer of the asso-ciation in other than an ex officio ca-pacityThe recipient has compiled an out- n

standing record of community ser-vice which apart from hisher spe-cific identification as a pharmacist reflects well on the profession

James H Beal Award

Awarded to the Pharmacist of the Year The criteria established for this award is that the recipient be a Flori-da registered pharmacist and a mem-ber of FPA who has rendered outstand-ing service to pharmacy within the past five yearsCriteria

The recipient must be a Florida reg- n

istered pharmacist and a member of the FPAThe recipient has rendered outstand- n

ing service to pharmacy within the past five years

Technician of the Year AwardAwarded annually to a Florida

pharmacy technician who is recog-nized for hisher outstanding perfor-mance and achievement during hisher career

Criteria

Candidate must be a member of n

the Florida Pharmacy Association for at least 2 yearsCandidate must have demonstrat- n

ed contributions and dedication to the advancement of pharmacy technician practiceCandidate must have demonstrat- n

ed contributions to the Florida Pharmacy Association andor oth-er pharmacy organizationsCandidate must have demonstrat- n

ed commitment to community ser-viceCandidate is not a past recipient of n

this award

RQ Richards Award

This award is based on outstanding achievement in the field of pharmaceu-tical public relations in FloridaCriteria

The recipient must be a Florida reg- n

istered pharmacist and a member of the FPAThe recipient has displayed out- n

standing achievement in the field of pharmaceutical public relations in Florida

Frank TobackAZO Consultant

Pharmacist Award

CriteriaCandidate must be an FPA member n

registered with the Florida Board of Pharmacy as a consultant pharma-cist in good standingCandidate should be selected based n

on their outstanding achievements in the field of consultant pharmacy

DCPA Sidney Simkowitz

Pharmacy Involvement Award

Presented annually to a Florida pharmacist who has been active at the local and state pharmacy association level in advancement of the profes-sion of pharmacy in Florida

CriteriaA minimum of five years of active n

involvement in and contributions to the local association and FPACandidate must have held office at n

local level pharmacy associationMember in good standing for a pe- n

riod of at least five years in the FPA and must have served as a member or chairman of a committee of the associationCandidate must have been active- n

ly involved in a project that has or could potentially be of benefit to members of the profession

Pharmacists Mutual Companies

Distinguished Young Pharmacist

Award

Awarded to a young pharmacist for their involvement and dedication to the practice of pharmacyCriteria

licensed to practice for nine (9) years n

or lesslicensed to practice in the state in n

which selectedParticipation in national pharmacy n

association professional programs andor community service

IPA Roman Maximo Corrons

Inspiration amp Motivation Award

Interamerican Pharmacists Association created this award to honor the memo-ry of Roman M Corrons who inspired and motivated countless pharmacists to participate actively and aspire to take on leadership roles in their profession Roman was always there with guidance and support that motivated pharma-cists and encouraged visionary leader-ship approachable active membership and succession planning This award recognizes the motivators among us who inspire others to continue to ad-vance the professionCriteria

C a L L f O r N O m i N a T i O N s F P A A W A R D S 2 0 0 9 - 2 0 1 0

O C T O B e r 2 0 0 9 | 25

DEADLINE FOR NOMINATIONS FEBRUARY 28 2010

The recipient must be a Florida li- n

censed Pharmacist and a member of the FPACandidate should motivate others n

to excel within the profession by en-couraging them to be leadersCandidate is not necessarily an as- n

sociation officer but guides sup-ports andor inspires others

A brief description on the candidatersquos motivationalinspirational skills must accompany the nomination

The Jean Lamberti

Mentorship Award

The Jean lamberti Mentorship Award was established in 1998 to hon-or those pharmacists who have taken time to share their knowledge and ex-

perience with pharmacist candidates The award is named in honor of long time FPA member Jean lamberti for her effort in working with pharmacy studentsCriteria

The recipient must be an FPA mem- n

berThe recipient must serve as a role n

model for the profession of pharmacy

Innovative Pharmacy Practice

Award

Awarded to honor practicing phar-macists who have demonstrated inno-vation in pharmacy practice that has resulted in improved patient careCriteria

The recipient has demonstrated inno- n

vative pharmacy practice resulting in improved patient careThe recipient should be a practic- n

ing pharmacist within the geograph-ic area represented by the presenting Association

Qualified nominee A pharmacist prac-ticing within the geographic area repre-sented by the presenting Association

I AM PLEASED TO SUBMIT THE FOLLOWING NOMINATION

Name

Address

FOR THE FOLLOWING AWARD

(Nomination Deadline February 28 2009)

Wyeth Bowl of Hygeia Award

James H Beal Award

RQ Richards Award

Frank TobackAZO Consultant Pharmacist Award

DCPA Sydney Simkowitz Award

Pharmacists Mutual Co Distinguished Young Pharmacist Award

Academy of Pharmacy Practice Practitioner Merit Award

The Jean Lamberti Mentorship Award

IPA Roman Maximo Corrons Inspiration amp Motivation Award

Innovative Pharmacy Practice Award

Technician of the Year Award

NOMINATED BY

Name

Date Submitted

Signature

Please describe briefly below the nominees accomplishments indicating why you feel he or she should receive this award (Attach additional sheets if necessary)

C a L L f O r N O m i N a T i O N s F P A A W A R D S 2 0 0 9 - 2 0 1 0

F P A A W A R D S N O M I N A T I O N F O R M

mail nominatons to annual awards Florida Pharmacy association 610 n adams st tallahassee Fl 32301(850) 222-2400 FaX (850) 561-6758 dEadlinE For nominations is FEBrUary 28 2010

26 | f L O r i d a p h a r m a C y T O d a y

CALL FOR RESOLUTIONS TO THE 2010 HOUSE OF DELEGATES

The House of Delegates Board of Directors will meet in March 2010 to review and approve resolu-tions for the Annual Meeting The deadline for submitting resolutions is March 15 2010 PleAse noTe THIs DeADlIne

The following information will be needed when submitting resolutions

1 name of organization The name of the organization submitting the resolutions(s)2 name and telephone number of individuals A contact in the event clarification or further in-

formation is needed 3 Problem A statement of the problem addressed by the resolution4 Intent A statement of what passage of the resolution will accomplish5 Resolution Format (please type and use double spacing)

TiTle of ResoluTion

name of oRganizaTion

WheReas and

WheReas

TheRefoRe be iT

Resolved (ThaT The fPa oR subdivision of fPa)

ConTaCT name and Phone

PRoblem

inTenT

Page 9: October 2009 Florida Pharmacy Journal

O C T O B e r 2 0 0 9 | 9

The concrete bricks are 4x8 and can be engraved with up to 14 characters per line three lines available spaces and punctuation count as one character Please fi nd enclosed my check for $_________ for _________ bricks

PLEASE PRINT Please charge my Master Card Visa

CARD EXP DATE

AUTHORIZED SIGNATURE

NAME

ADDRESS

CITY STATE ZIP

PHONE (W) (H)

O R D E R F O R M

Send to Florida Pharmacy Foundation 610 N Adams St Tallahassee FL 32301or fax to (850) 561-6758

Contributions to the Florida Pharmacy Foundation are tax deductible as a charitable contribution for federal income tax purposes Consult your CPA for complete details Fed Emp ID 59-2190074

A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE 1-800-435-7352 WITHIN THE STATE REGISTRATION DOES NOT IMPLY ENDORSEMENT APPROVAL OR RECOMMENDATION BY THE STATE

The Walkway of Recognition

YES I want to order _______ concrete bricks at $25000 each (Please copy form for additional inscriptions)

Have you been searching for just the right gift or thought of placing your name in perpetuity If so then consider purchasing an engraved brick for you or someone else

The main sidewalk at the Florida Pharmacy Association needs replacing The Florida Pharmacy Foundation has undertaken the project to repair and beautify the sidewalk with engraved personal bricks purchased by pharmacists or friends of pharmacy

Engraved 4x8 bricks can be purchased for $25000 each with the donorrsquos name engraved (3 lines available) or you could also purchase an engraved brick for someone you feel should be honored or remembered

The monies earned from this project will be used to fulfi ll the goals and future of the Foundation There are a limited number of bricks available ndash so it is fi rst come fi rst served

PLEASE PRINT INSCRIPTION

THE WALKWAY OF RECOGNITION

YOUR NAME HERE

FPA OFFICE

FoundationAdBrickesindd 1 122308 94448 PM

10 | f L O r i d a p h a r m a C y T O d a y

Visits to doctor n s for influenza-like illness (IlI) continued to increase in the United states and overall are higher than levels expected for this time of the year Total influenza n hospitalization rates for laboratory-con-firmed influenza are higher than expected for this time of year for adults and children And for children 5-17 and adults 18-49 years of age hospitalization rates from April ndash october 2009 exceed average flu season rates (for octo-ber through April) The proportion of n deaths attributed to pneumonia and in-fluenza (PampI) based on the 122 Cities Report has increased and now exceeds what is normally expected at this time of year In addition 19 flu-related pediatric deaths were reported this week 16 of these deaths were confirmed 2009 H1n1 and 3 were unsubtyped influenza A and like-ly to be 2009 H1n1 A total of 76 laboratory confirmed 2009 H1n1 pediatric deaths have been reported to CDC since April Thirty-seven states are reporting n widespread influen-za activity at this time They are Alabama Alaska Ari-zona Arkansas California Colorado Delaware Florida Georgia Idaho Illinois Indiana Iowa Kansas Kentucky louisiana Maryland Minnesota Mississippi Missouri nebraska nevada new Hampshire new Mexico new York north Carolina ohio oklahoma oregon Penn-sylvania south Carolina south Dakota Texas Tennes-see Virginia Washington and Wyoming Any reports of widespread influenza activity in september and october are very unusual Almost all of the influenza n viruses identified so far are 2009 H1n1 influenza A viruses These viruses remain similar to the virus chosen for the 2009 H1n1 vaccine and remain susceptible to the antiviral drugs oseltamivir and zanamivir with rare exception CDC Guidance for Businesses and Employers To Plan and Respond to the

2009ndash2010 Influenza Season

IntroductionThe Us Department of Health and Human servicesrsquo

(HHs) Centers for Disease Control and Prevention (CDC) with input from the Us Department of Homeland security (DHs) has developed updated guidance for employers of all sizes to use as they develop or review and update plans to re-

spond to 2009 H1n1 influenza now and during the upcom-ing fall and winter influenza season Businesses and employ-ers in general play a key role in protecting employeesrsquo health and safety as well as in limiting the negative impact of in-fluenza outbreaks on the individual the community and the nationrsquos economy employers who have developed pandemic plans should review and revise their plans in light of the cur-rent 2009 H1n1 influenza outbreak to take into account the extent and severity of disease in their community as outlined in this guidance2

Planning for Fall and Winter Influenza SeasonBusinesses may have already been impacted by the spring

and summer outbreaks of 2009 H1n1 influenza affecting their employees CDC anticipates that more communities may be affected than were in the springsummer 2009 andor more severely affected reflecting wider transmission and possibly greater impact In addition seasonal influenza viruses may cause illness at the same time as 2009 H1n1 this fall and win-ter In response to the anticipated spread of 2009 H1n1 in-fluenza the CDC has revised its recommendations to assist businesses and other employers of all sizes

The severity of illness that 2009 H1n1 influenza flu will cause (including hospitalizations and deaths) or the amount of illness that may occur as a result of seasonal influenza dur-ing the 2009ndash2010 influenza season cannot be predicted with a high degree of certainty Therefore employers should plan to be able to respond in a flexible way to varying levels of severity and be prepared to refine their pandemic influenza response plans if a potentially more serious outbreak of in-fluenza evolves during the fall and winter More people and communities are likely to be affected as influenza is more widely transmitted The CDC and its partners will continu-ously monitor national and international data on the severity of illness caused by influenza will disseminate the results of these ongoing surveillance assessments and will make addi-tional recommendations as needed

Considerations of Appropriate Response Strategies

All employers must balance a variety of objectives when determining how best to decrease the spread of influenza and lower the impact of influenza in the workplace They should

2009 H1N1 Flu Situation UpdateKey Flu Indicatorseach week CDC analyzes information about influenza disease activity in the United states and publishes findings of key flu indicators in a report called FluView During the week of september 27 - october 3 2009 a review of the key indictors found that influenza activity increased in the United states Below is a summary of the most recent key indicators

O C T O B e r 2 0 0 9 | 11

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Mergers and AcquisitionsCommercial Civil and Criminal Proceedings

KAHAN SHIR PL

Pharmacist AttorneyBrian A Kahan RPh JD

Licensed Florida Pharmacist and Attorney

STATEWIDE REPRESENTATION

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The hiring of a lawyer is an important decision that should not be based solely upon advertisements Before you decide ask us to send you free written information about our qualifications and experience

consider and communicate their objectives which may in-clude one or more of the following (a) reducing transmis-sion among staff (b) protecting people who are at increased risk of influenza related complications from getting infected with influenza (c) maintaining business operations and (d) minimizing adverse effects on other entities in their supply chains

employers should expect to see a wide range of disease patterns across the country employers should base their strategies and response to influenza outbreaks on local infor-mation from local and state public health authorities some of the key indicators that should be used when making deci-sions on appropriate responses are

Disease severity (ie hospitalization and death rates) in n

the community where business is locatedextent of disease (number of people who are sick) in the n

communityAmount of worker absenteeism in your business or orga- n

nizationImpact of disease on workforce populations that are vul- n

nerable and at higher risk (eg pregnant women employ-ees with certain chronic medical conditions that put them at increased risk for complications of influenza) andother factors that may affect employeesrsquo ability to get to n

work such as school dismissals or closures due to high levels of illness in children or school dismissalsemployers need to plan now to be able to obtain updated

information on these indicators from state and local health departments in each community where they have a business presence and to respond quickly to the changing reality on the ground employers with more than one business location are encouraged to provide local managers with the authori-ty to take appropriate actions outlined in their business pan-demic plan based on the condition in each locality

Preparedness and Response Recommendations

PLANNING FOR 2009 H1N1 AND THE 2009ndash2010 INFLUENzA SEASON

This guidance is designed to help employers plan for and respond to two possible conditions 1) a continuation of the current level of severity of influenza as was observed during the spring and summer of 2009 and 2) a more severe outbreak The first situation is what is being experienced in some com-munities nowmdashan outbreak of similar severity of 2009 H1n1 to the spring However even if the severity of the virus does not change planners should expect that there will be more people who are ill in the fall and winter as 2009 H1n1 out-breaks coincide with the seasonal influenza season and this level of absenteeism may impact business operations A sec-ond situation involves an outbreak of greater severity includ-ing more people with severe illness and thus more people hospitalized for influenza complications more deaths from influenza and a probable escalation of absenteeism

12 | f L O r i d a p h a r m a C y T O d a y

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The Right Jobbull Flexible Schedulesbull Top Compensationbull Great Benefi tsbull Local or Travel

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Businesses should have an understanding of their normal seasonal absenteeism rates and know how to monitor their personnel for any unusual increases in absenteeism through the fall and winter Business continuity planners should as-sess their essential business functions now to determine at what threshold of absenteeism those functions would be threatened if absenteeism escalates Planners can then pre-pare to take more aggressive measures to protect continuity as absenteeism escalates towards those thresholds

even employers in communities that have not yet felt ef-fects from 2009 H1n1 influenza should plan for an influen-za outbreak this fall and winter and be ready to implement strategies to protect their workforce while ensuring continuity of operations During an influenza pandemic all sick people should stay home and away from the workplace hand wash-ing and covering coughs and sneezes should be encouraged and routine cleaning of commonly touched surfaces should be performed regularly If the severity of illness increases employers should be ready to implement additional measures while continuing to rigorously implement the interventions recommended for an outbreak similar to the springsummer 2009 H1n1 outbreak If severity increases public health offi-cials may recommend a variety of methods for increasing the physical distance between people (called social distancing) to reduce the spread of disease such as school dismissal child care program closure canceling large community gatherings canceling large business-related meetings spacing workers farther apart in the workplace canceling non-essential travel

and recommending work-from-home strategies for workers that can conduct their business remotely

Please remember employers should develop capabilities to respond to both scenarios and these two conditions serve only as a planning framework Businesses and other employ-ers should develop flexible capabilities to respond to either situation given the difficulties in accurately predicting the ex-tent and severity of 2009 H1n1 as it unfolds during the 2009ndash2010 influenza season Individual businesses may implement additional actions if they experience high absenteeism or business continuity is compromised In addition employers should be aware that other emergencies such as hurricanes or other natural disasters may happen during the fall and win-ter creating additional challenging problems for businesses and communities

WORk WITH STATE AND LOCAL PUBLIC HEALTH PARTNERS

Coordination with state and local health officials is strong-ly encouraged for all businesses so that timely and accurate information can guide appropriate responses in each location where their operations reside since the intensity of an out-break may differ according to geographic location local pub-lic health officials will be issuing guidance specific to their communities Also businesses could work with public health and community leaders to explore ways of improving accessi-bility of vaccination for the workforce and in the community

kEEP SICk WORkERS HOME

one of the best way to reduce the spread of influenza is to keep sick people away from well people However in the fall and winter it will not be possible to quickly determine if workers who are ill have 2009 H1n1 seasonal influenza or any number of other different conditions based on symptoms alone local and state health department surveillance infor-mation can be helpful to know when influenza is circulating in the community although the availability timeliness and amount of local information on when influenza is circulating may vary substantially from community to community

Workers who have symptoms of influenza-like illness3 are recommended to stay home and not come to work until at least 24 hours after their fever has resolved4 Regardless of the size of the business or the function or services that you pro-vide all employers should plan now to allow and encourage sick workers to stay home without fear of losing their jobs CDC recommends this strategy for all levels of severity em-ployers should plan now for how they will operate if there is significant absenteeism from sick workers However employ-ers should know that some persons with influenza including those ill with 2009 H1n1 do not have fever Therefore it will not be possible to exclude everyone who is ill with influenza from the workplace

BE PREPARED IF SCHOOLS DISMISS STUDENTS OR CHILD CARE PROGRAMS CLOSE

In some communities schools may dismiss students and childcare programs may close particularly if the severity in-

O C T O B e r 2 0 0 9 | 13

creases5 officials will make these decisions to protect pub-lic health but they will affect your businessrsquos functioning es-pecially affecting absenteeism Plan now to determine how you will operate if absenteeism spikes from increases in sick workers those who stay home to care for ill family members and those who must stay home to watch their children if dis-missed from school Businesses and other employers should prepare to institute flexible workplace and leave policies for these workers

Actions Employers Should Take NowReview or establish a flexible influenza pandemic plan n

and involve your employees in developing and reviewing your planConduct a focused discussion or exercise using your plan n

to find out ahead of time whether the plan has gaps or problems that need to be corrected before flu seasonHave an understanding of your organizationrsquos normal n

seasonal absenteeism rates and know how to monitor your personnel for any unusual increases in absenteeism through the fall and winterengage state and local health department to confirm n

channels of communication and methods for dissemina-tion of local outbreak informationAllow sick workers to stay home without fear of losing n

their jobsDevelop other flexible leave policies to allow workers to n

stay home to care for sick family members or for children if schools dismiss students or child care programs closeshare your influenza pandemic plan with employees and n

explain what human resources policies workplace and leave flexibilities and pay and benefits will be available to themshare best practices with other businesses in your com- n

munities (especially those in your supply chain) cham-bers of commerce and associations to improve communi-ty response efforts andAdd a ldquowidgetrdquo or ldquobuttonrdquo to your company Web page n

or employee Web sites so employees can access the lat-est information on influenza wwwcdcgovwidgets and wwwcdcgovsocialMediaCampaignsH1n1buttonshtml

Important Components of an Influenza Pandemic Plan

Be prepared to implement multiple measures to protect n

workers and ensure business continuity A layered ap-proach will likely work better than using just one mea-sureIdentify possible work-related exposure and health risks n

to your employees The occupational safety and Health Administration (osHA) has developed tools to determine if your employees are at risk of work-related exposures and if so how to respond (see wwwoshagovdsgtopics

I n d e p e n d e n t hellip B u t N o t A l o n e P P S C i s Y o u r P a r t n e r f o r S u c c e s s

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returns and Part B billingREDUCE claim resubmissionsINCREASE your profits

For more on how PPSC can maximize the potential of your independent pharmacy visit wwwppsconlinecom or call toll-free 888-778-9909

14 | f L O r i d a p h a r m a C y T O d a y

City of Tallahassee Declares October as American Pharmacists Month

Tallahassee Mayor John Marks has declared october as American Pharmacist Month In a procla-mation signed on october 1 2009 Mayor Marks urged all citizens to acknowledge the valuable servic-es of pharmacists to provide safe affordable and beneficial pharma-ceutical care services and prod-ucts to all citizens

The Florida Pharmacy Associa-tion wish to thank our FAMU in-tern Carina Davison for her work with the City of Tallahassee dur-ing her rotation here at the FPA of-fice

FROM THE GOVERNING BODY OFTHE CITY OF TALLAHASSEE

PROCLAMATIONWhereas pharmacy is one of the oldest of the health professions con-cerned with the health and well-being of all people andWhereas today there are over 254000 pharmacists practicing in the United States and over 400 pharmacists licensed in the city of Tallahassee providing services to assure the rational and safe use of all medications andWhereas the use of medication as a cost-effective alternative to more expensive medical procedures is becoming a major force in moderating overall health care costs andWhereas todays powerful medications require greater attention to the manner in which they are used by different patient population groups -both clinically and demographically andWhereas it is important that all users of prescription and nonprescrip-tion medications or their caregivers be knowledgeable about and share responsibility for their own drug therapy andWhereas the American Pharmacists Association and the Florida Phar-macy Association have declared October as American Pharmacists Month with the theme Know Your Medicines - Know Your Pharmacist

Now therefore be it resolved that I John Marks do hereby proclaim October as

American Pharmacists Month

in the city of Tallahassee and urge all our citizens to acknowledge the valuable services of pharmacists to provide safe affordable and beneficial pharmaceutical care services and products to all citizens

O C T O B e r 2 0 0 9 | 15

pandemicfluindexhtml)Review human resources policies to make sure that poli- n

cies and practices are consistent with public health rec-ommendations and are consistent with existing state and federal workplace laws (for more information on employ-er responsibilities employers should visit the Department of laborrsquos and the equal employment opportunity Com-missionrsquos websites at wwwdolgov and wwweeocgov)Allow employees to stay home if they are ill have to care n

for ill family members or must watch their children if schools or childcare facilities closeexplore whether you can establish policies and practices n

such as flexible worksites (eg telecommuting) and flex-ible work hours (eg staggered shifts) when possible to increased the physical distance among employees and be-tween employees and others if local public health author-ities recommend the use of social distancing strategies ensure that you have the information technology and in-frastructure needed to support multiple workers who may be able to work from homeIdentify essential business functions essential jobs or n

roles and critical elements within your supply chains (eg raw materials suppliers subcontractor servicesproducts and logistics) required to maintain business op-erations Plan for how your business will operate if there is increasing absenteeism or these supply chains are inter-ruptedset up authorities triggers and procedures for activat- n

ing and terminating the companyrsquos response plan alter-ing business operations (eg possibly changing or closing operations in affected areas) and transferring business knowledge to key employees Work closely with your lo-cal health officials to identify these triggersPlan to minimize exposure to fellow employees or the n

public if public health officials call for social distancingestablish a process to communicate information to work- n

ers and business partners on your 2009 H1n1 influenza response plans and latest 2009 H1n1 influenza informa-tion Anticipate employee fear anxiety rumors and mis-information and plan communications accordingly

over the past several years HHs CDC DHs osHA eeoC and other federal partners have developed guidelines including checklists to assist businesses industries and oth-er employers in planning for a pandemic outbreak Review these resources to assist in your planning efforts wwwflugovplanworkplaceplanningindexhtml

The recommendations that follow provide guidance on how employers can develop strategies and respond to two levels of severity local conditions will influence the deci-sions that public health officials make regarding community-level strategies employers should take the time now to learn about plans in place in each community where they have a presence

Recommended Employer Responses for the 2009-2010 Flu SeasonRecommended Action Steps under Current Flu Conditions (similar severity as in SpringSummer 2009)

If the severity of illness in the fall and winter is similar to that observed in the spring and summer of 2009 the effects of 2009 H1n1 influenza may not have substantial impacts on absenteeism though some increase in absenteeism over the spring season is anticipated When larger numbers of people become ill correspondingly larger numbers of people will be-come seriously ill and may require hospitalization

SICK PERSONS SHOuLD STAY HOMEAdvise workers to be alert to any signs of fever and any n

other signs of influenza-like illness6 before reporting to work each day and notify their supervisor and stay home if they are ill employees who are ill should not travel while they are illCDC recommends that employees with influenza-like ill- n

ness remain at home until at least 24 hours after they are free of fever (100deg F [378deg C] or greater) or signs of a fever without the use of fever-reducing medicationsexpect sick employees to be out for about 3 to 5 days in n

most cases even if antiviral medications are usedensure that your sick leave policies are flexible and con- n

sistent with public health guidance and that employees are well aware of these policiesTalk with companies that provide your company with n

contract or temporary workers about the importance of sick workers staying home and encourage them to devel-op non-punitive leave policiesDo not require a doctorrsquos note for workers who are ill with n

influenza-like illness to validate their illness or to return to work as doctorrsquos offices and medical facilities may be extremely busy and may not be able to provide such doc-umentation in a timely way employees who are well but who have an ill family mem- n

ber at home with influenza can go to work as usual How-ever these employees should monitor their health every day and notify their supervisor and stay home if they be-come ill employers should maintain flexible policies that permit employees to stay home to care for an ill family member employers should be aware that more workers may need to stay at home to care for ill children or other ill family members than is usual

SICK EMPLOYEES AT WORK SHOuLD BE ASKED TO gO HOME

CDC recommends that workers who appear to have an n

influenza-like illness upon arrival or become ill during the day be promptly separated from other workers and be advised to go home until at least 24 hours after they are free of fever (100deg F [378deg C] or greater) or signs of a fever without the use of fever-reducing medications Those who become ill with symptoms of an influenza-like n

illness during the work day should be

16 | f L O r i d a p h a r m a C y T O d a y

o separated from other workers and asked to go home promptly (For recommendations on personal protec-tive equipment for a person assisting the ill employee see Interim Recommendations for Facemask and Res-pirator Use to Reduce novel Influenza A (H1n1) Vi-rus Transmission httpwwwcdcgovh1n1flumaskshtm)

o When possible and if they can tolerate it workers with influenza-like illness should be given a surgical mask to wear before they go home if they cannot be placed in an area away from others

If an employee becomes ill at work inform fellow employ- n

ees of their possible exposure in the workplace to influen-za-like illness but maintain confidentiality as required by the Americans with Disabilities Act (ADA) For more in-formation on privacy issues please refer to httpwwwflugovfaqworkplace_questionsequal_employmentin-dexhtmlPrivacyIssues employees exposed to a sick co-worker should monitor themselves for symptoms of influ-enza-like illness and stay home if they are sick

COVER COugHS AND SNEEzESInfluenza viruses are thought to spread mainly from per- n

son to person in respiratory droplets of coughs and sneez-es Provide employee messages on the importance of cov-ering coughs and sneezes with a tissue or in the absence of a tissue onersquos sleeve Place posters in the worksite that encourages cough and sneeze etiquetteProvide tissues and no-touch disposal receptacles for use n

by employees

IMPROVE HAND HYgIENEInfluenza may be spread via contaminated hands In- n

struct employees to wash their hands often with soap and water or use an alcohol-based hand cleaner especially af-ter coughing or sneezing Place posters in the worksite that encourage hand hygieneProvide soap and water and alcohol-based hand sanitiz- n

ers in the workplace ensure that adequate supplies are maintained If feasible place hand sanitizers in multiple locations or in conference rooms to encourage hand hy-giene

CLEAN SuRFACES AND ITEMS THAT ARE MORE LIKELY TO HAVE FREquENT HAND CONTACT

Frequently clean all commonly touched surfaces in the n

workplace such as workstations countertops and door-knobs Use the cleaning agents that are usually used in these areas and follow the directions on the labelno additional disinfection beyond routine cleaning is rec- n

ommendedENCOuRAgE EMPLOYEES TO gET VACCINATED

encourage your employees to get vaccinated for seasonal n

influenza For information on groups prioritized for sea-sonal influenza vaccines please see httpwwwcdcgovfluprotectkeyfactshtm encourage your employees also to get vaccinated for 2009 n

H1n1 influenza when vaccines are available to them Dif-ferent groups are prioritized for 2009 H1n1 influenza than for seasonal influenza For information on groups prioritized for H1n1 influenza vaccine please see httpwwwcdcgovh1n1fluvaccinationaciphtm offer opportunities at your worksite for influenza vacci- n

nation Consider granting employees time off from work to get vaccinated if not offered at the worksiteReview the health benefits you offer employees and work n

with insurers to explore if they can cover the costs of in-fluenza vaccination

TAKE MEASuRES TO PROTECT EMPLOYEES WHO ARE AT HIgHER RISK FOR COMPLICATIONS OF INFLuENzA

People at higher risk for complications from influenza in- n

clude pregnant women children under 5 years of age adults and children who have chronic lung disease (such as asthma) heart disease diabetes diseases that suppress the immune system and other chronic medical conditions and those who are 65 years or older7 Inform employees that some people are at higher risk of n

complications from influenza and that if they are at high-er risk for complications they should check with their health care provider if they become ill early treatment with antiviral medications is very important for people at high risk because it can prevent hospitalizations and deathsencourage employees recommended for seasonal influ- n

enza vaccine and 2009 H1n1 vaccines to get vaccinated as soon as these vaccines are available For information on groups prioritized for seasonal and H1n1 vaccines please see httpwwwcdcgovfluprotectkeyfactshtm and httpwwwcdcgovh1n1fluvaccinationaciphtmemployees who become ill and are at increased risk of n

complications from influenza and ill employees who are concerned about their illness should call their health care provider for advice Their health care provider might want them to take antiviral medications to reduce the likelihood of severe complications from the influenzasee n httpwwwcdcgovh1n1fluqahtm for more infor-mation

PREPARE FOR INCREASED NuMBERS OF EMPLOYEE ABSENCES DuE TO ILLNESS IN EMPLOYEES AND THEIR FAMILY MEMBERS AND PLAN WAYS FOR ESSENTIAL BuSINESS FuNCTIONS TO CONTINuE

employers should plan to monitor and respond to ab- n

senteeism at the workplace Implement plans to contin-ue your essential functions in case you experience high-er than usual absenteeism elevated absentee rates can be due to sick workers those who need to stay home and care for others or from workers with conditions that make them at higher risk for complications from influen-za and who may be worried about coming to work Cross-train personnel to perform essential functions so n

that the workplace is able to operate even if key staff are absent

O C T O B e r 2 0 0 9 | 17

Assess your essential functions and the reliance that oth- n

ers and the community have on your services or products Be prepared to change your business practices if need-ed to maintain critical operations (eg identify alternative suppliers prioritize customers or temporarily suspend some of your operations if needed)

ADVISE EMPLOYEES BEFORE TRAVELINg TO TAKE CERTAIN STEPS

Advise workers to check themselves for fever and any n

other signs of influenza-like illness before starting travel and notify their supervisor and stay home if they are illAdvise employees who will be traveling or on temporary n

assignment about precautions they may need to take to protect their health and who to call if they become illemployees who become ill while traveling and are at in- n

creased risk of complications from influenza and oth-ers concerned about their illness should promptly call a health care provider for adviceensure employees who become ill while traveling or on n

temporary assignment understand that they should noti-fy their supervisor If outside the United states ill employees should fol- n

low your companyrsquos policy for obtaining medical care or contact a health care provider or overseas medical assis-tance company to assist them with finding an appropriate health care provider in that country if needed A Us con-sular officer can help locate health care services However Us embassies consulates and military facilities do not have the legal authority capability and resources to evac-uate or give medications vaccines or medical care to pri-vate Us citizens overseassee CDCrsquos Travel Website ( n httpwwwncdcgovtrav-elcontentnovel-h1n1-fluaspx) for more information for travelers

PREPARE FOR THE POSSIBILITY OF SCHOOL DISMISSAL OR TEMPORARY CLOSuRE OF CHILD CARE PROgRAMS

Although school dismissals or closures of child care pro- n

grams are not likely to be generally recommended at this level of severity they are possible in some jurisdictions Be prepared to allow workers to stay home to care for n

children if schools are dismissed or child care programs are closed strongly recommend that parents not bring their children n

with them to work while schools are dismissedensure that your leave policies are flexible and non-puni- n

tive Cross-train employees to cover essential functions n

Read CDCrsquos Guidance for state and local Public Health n

officials and school Administrators for school (K-12) Re-sponses which can be found at httpwwwcdcgovh1n-1fluschoolsschoolguidancehtm to better understand the conditions under which schools may be dismissed

Under Conditions with Increased Severity Compared to SpringSummer 2009

If 2009 H1n1 becomes more severe than during springsummer 2009 absenteeism will likely be far greater and ad-ditional protective measures to slow the spread of influenza may be considered Check with your local health department for the extent and severity of disease activity in your commu-nity and for recommendations for necessary measures Deci-sions about what tools should be used during a severe 2009 H1n1 outbreak should be based on the observed severity of the event its impact on specific subpopulations the need to protect workers the expected benefit of the interventions the feasibility of success of implementing these measures the di-rect and indirect costs of different interventions and the ef-fects on critical infrastructure health care delivery and soci-ety The following are measures that should be considered if influenza severity increases and are meant for use in addition to the measures outlined above

CONSIDER ACTIVE SCREENINg OF EMPLOYEES WHO REPORT TO WORK

If influenza severity increases at the beginning of the n

workday or with each new shift all employees should be asked about symptoms consistent with an influenza ill-ness8 such as fever or chills AnD cough or sore throat If the severity or the impact of influenza increases CDC rec-ommends that persons with an influenza-like illness not come to work or travel and remain at home for at least 7 days even if symptoms resolve sooner Individuals who are still sick 7 days after they become ill should continue to stay home until at least 24 hours after symptoms have resolved If influenza severity increases CDC recom-mends that people stay home at least 7 days whether or not antiviral medications are usedMake sure your sick leave policies are flexible and consis- n

tent with public health guidance and that your employ-ees are aware of these policies Do not require a doctorrsquos note for workers who are ill with n

influenzaContinue to advise workers to check for any signs of ill- n

ness before reporting to work each dayMake contingency plans for increased absenteeism n

caused by illness in workers or illness in workersrsquo family members that would require them to stay home Planning for absenteeism could include cross-training current em-ployees or hiring temporary workers

CONSIDER ALTERNATIVE WORK ENVIRONMENTS FOR EMPLOYEES AT HIgHER RISK FOR COMPLICATIONS OF INFLuENzA DuRINg PERIODS OF INCREASED INFLuENzA ACTIVITY IN THE COMMuNITY

employees with an underlying chronic medical condition n

or who are pregnant should consider calling their health care provider for advice about how to reduce their risk of exposure to influenza and if they get sick how best to get early treatment for influenzaIf influenza severity increases and if influenza transmis- n

sion is high in the community employers may want to evaluate their work environment to see how they can re-

18 | f L O r i d a p h a r m a C y T O d a y

duce the number of people that high-risk employees come in contact with such as exploring options for telecom-muting from home (if feasible) employers can also think about how workers at higher risk for influenza compli-cations could be reassigned to duties that have minimal contact with other employees clients or customers If these workers cannot be reassigned duties to reduce con-tact with others are concerned about their ability to avoid influenza at the workplace or will be in crowded condi-tions at work or while commuting to work then consider allowing employees at higher risk for influenza complica-tions to stay home from workCDC recommends that ill workers at higher risk of com- n

plications from influenza seek early treatment if they be-come illsee n httpwwwcdcgovh1n1fluqahtm for more infor-mation

CONSIDER INCREASINg SOCIAL DISTANCINg IN THE WORKPLACE

If influenza severity increases local public health offi- n

cials may recommend that employers implement mea-sures to increase the physical distance between people in the workplace to reduce the spread of influenza The goal should be for there to be at least 6 feet of distance between people at most times This is not a simple or easy strategy and would typically require considerable flexibility These measures may include avoiding crowded work settings canceling business-related face-to-face meetings spacing workers farther apart canceling non-essential travel in-creasing use of teleworking and using staggered shifts to allow fewer workers to be in the workplace at the same time9

If appropriate for your type of business and feasible re- n

view or develop policies for teleworking including an as-sessment of the capabilities and gaps of your current com-puter systems and availability of technical support Take remedial steps if needed and test your system in advance to assure it can handle an increase in remote usersRecommendations to increase social distancing may af- n

fect community functioning Because supply chain issues may be affected make sure you have plans for back-up suppliers

CONSIDER CANCELINg NON-ESSENTIAL BuSINESS TRAVEL AND ADVISINg EMPLOYEES ABOuT POSSIBLE DISRuPTIONS WHILE TRAVELINg OVERSEAS

If the severity of the outbreak worldwide increases in the n

fall or winter public health officials may recommend so-cial distancing strategies which include canceling non-es-sential travel and travel restrictions may be enacted by some countries which may limit the ability of employees to return home if they become ill while on travel statusIf influenza severity increases travelers should also be n

prepared for travel delays health screenings and other activities targeted towards travelers Provide information to travelers about contingency plans and how their travel

can be rebooked for these possible delays

PREPARE FOR SCHOOL DISMISSAL OR CLOSuRE OF CHILD CARE PROgRAMS

school dismissals and closure of child care programs are n

more likely at higher levels of severity Be prepared to allow workers to stay home to care for their children if schools are dismissed or child care programs are closed If dismissal is needed schools are being advised to dis-miss students for at least 5 to 7 calendar days or longer if necessary encourage employees who perform essential functions n

and who have children to plan for contingencies should local child care programs close or schools dismiss stu-dents Be prepared for prolonged absenteeism if schools dismiss n

students for an extended time Make sure your leave poli-cies are flexible and non-punitive employers should strongly recommend that parents not n

bring their children with them to work while schools are dismissedImplement flexible workplace policies like teleworking n

and staggered shifts Cross-train employees to cover essential functions n

Read CDCrsquos school guidance which can be found at n

httpwwwcdcgovh1n1fluschoolsschoolguidancehtm to better understand the conditions under which schools may be dismissed

OTHER CONSIDERATIONSAs part of their comprehensive pandemic planning n

some public and private sector employers have stock-piled or otherwise arranged for influenza antiviral drugs to be available for their employees during a pandemic To guide these efforts HHs released guidance to busi-nesses in 2008 entitled Considerations for Antiviral Drug Stockpiling by Employers in Preparation for an Influenza Pan-demic (httpwwwflugovvaccineantiviral_employershtml) see updated interim guidance on the use of antivi-ral agents for treatment and prophylaxis of 2009 H1n1 in-fluenza infection at httpwwwcdcgovh1n1flurecom-mendationshtmemployers should be aware that the severity of 2009 n

H1n1 influenza could change rapidly therefore local public health recommendations to communities and busi-nesses could be revised quickly Planners should identi-fy sources of timely and accurate information so they are aware of changes to recommendations and can promptly implement revised or additional measures recommended by local public health officials

O C T O B e r 2 0 0 9 | 19

The Florida Pharmacy Association 2009 ResolutionsPresented to the House of Delegates

It is an honor to serve as your 2009-2010 FPA speaker of the House of Delegates I have the privilege of follow-ing in the footsteps of some of FPArsquos most effective and prominent leaders and speakers including most recently suzanne Kelly

The House meeting held during the 2009 FPA An-nual Meeting in st Augustine was a lively and exciting meeting for our association If you missed the meeting or unaware of how the FPA House of Delegates serves itrsquos membership I strongly encourage you to contact myself directly or any of the FPA House of Delegates Board of Di-rectors Any one of us will be happy to get you involved and excited about this group and share with you how ev-ery resolution directly impacts the direction of the associ-ation and you its member

The FPA Board of Directors of the House of Delegates is made up of the following faithful memberssuzanne Kelly ndash Chair of the House of Delegates Board

of DirectorsAlexander Pytlarz ndash speaker of the House of DelegatesWilliam Riffee ndash Vice-speakershannon Zandy ndash DirectorCaridad Ferree ndash DirectorJosh Fields ndash Director Karen Whalen ndash FPA PresidentHumberto Martinez ndash FPA President-electMichael A Mone ndash ParliamentarianMichael A Jackson ndash FPA executive Vice President amp

Ceoon behalf of the House Board of Directors Irsquod like to

welcome the newest members of the House Board of Di-

rectors Dean William Riffee Vice-speaker and Caridad Ferree Director were elected at this years FPA Annual Meeting We look forward to their involvement

The House also had the privilege of introducing two new invited organizations to the House They are nige-rian Pharmacists Association and Florida Independent Pharmacy network

If any member represents an organization that wants to be involved in the House of Delegates please contact me directly I will be happy to work with you and your or-ganization so you are represented within the House and have your voice heard by all FPA members

At this past yearrsquos meeting the House reviewed eight submitted resolutions Below is a summary of the actions of the each resolution that the House took and to what committee the adopted resolutions were referred to by your President Karen Whalen Please review these reso-lutions as they will impact the policies and direction of our association If you have any comments or questions please feel free to contact me or any member of the House Board As always itrsquos never too early to start thinking about possible resolutions for next years House

Thank you for the opportunity to serve you and the Florida Pharmacy Association

Best regards

Alexander Pytlarz2009-2010 speaker of the House of Delegates

RESOLUTION 1

Pharmacy Manager in Charge Man-date rule changes for the State require to be on-site 24 hr perweekBroward County Pharmacist Associa-tion

Whereas There is no statutory or rule requirement for a Manager in Charge to be present in the Pharmacy

Whereas over the last few years in-ternet practices and non-pharmacist owned pharmacies have flourished in practice settings that were poorly su-pervised

Be it Resolved that the FPA propose that the Florida Pharmacy Board pro-mulgate rules which safeguard the public by having a Responsible par-ty (Pharmacy Manager of Record) on

premises 24 hrs per given week

Contact Broward County Pharmacist AssocDaniel P sweet RPhPast President Board Member954-232-8202

Intent To protect the public from non-pharmacist owners to influence the practice of pharmacy by placing a phar-

20 | f L O r i d a p h a r m a C y T O d a y

macist on record without reviewing the day to day operations of Pharmacy Practice and its Rules and statues

Resolution not Adopted

Respectfully submitted

Broward County Pharmacist Associa-tion

RESOLUTION 2

Repeal 40 hr Rule for Community Pharmacy PermitBroward County Pharmacist Associa-tion

Whereas the Practice of Pharmacy is evolving to an Information Profession where pharmacists will be reviewing medication therapy

Whereas in populated areas there are multiple pharmacies in a compact radi-us

Be it Resolved that the Florida Board of Pharmacy act in repealing the 40 hr rule for Community Pharmacy Permit withstanding that there is a pharmacy within 5 miles with extended hours or a 24 hr pharmacy within 2 miles

Contact Daniel P sweet RPhPast President Board Member Broward County Pharmacist Assoc954-232-8202

Intent With Pharmacy Practice evolv-ing with more Pharmacists are going to use there education to create office type practice The Pharmacist will need to be off-site to review medications and council patients on the use of their medication

Respectfully submittedBroward County Pharmacist Associa-tion

Motion to amendAmendment passedspeaker unable to determine the posi-

tion of the House on voice votestanding vote called for by the House speakerResolution adopted on standing vote

RESOLUTION 3

Physician Dispensing ndash Limiting Scope as Pertains to Controlled Sub-stancesBroward County Pharmacists Associa-tion

Whereas a significant problem regard-ing the misuse of controlled substances in our state has been identified and

Whereas the checks and balances that the pharmacist brings to the equation of reducing the potential for misuse of controlled substances due to conflicts of interest is circumvented in the phy-sician dispensing model

Be it Resolved that the FPA seek legis-lative changes to limit the in-office dis-pensing of controlled substances up to and not more than a three (3) day sup-ply Contact Broward County Pharmacists AssociationDaniel P sweet RPhPast President Board Member954-232-8202

Motion to amend the phrase ldquowork with the respective BoardsrdquoAmendment is adoptedMotion to amend by adding the words ldquouprdquo and the words ldquoand not more thanrdquo to the first sentenceMotion to amend passesMotion to amend by striking the last sentence of the resolveMotion to amend passesResolution Adopted

Intent With the advent of Pain Man-agement Clinics with Dispensaries Pa-tient safety and control is lost by not having a Pharmacist oversee the pa-tientsrsquo therapeutic management with-in the guidelines of the FDA and Con-trolled substance Abuse Act

RESOLUTION 4

Pharmacy Service TaxBroward County Pharmacists Associa-tion

Whereas Pharmacy has assumed the burden of absorbing the costs associat-ed with receiving and sending data to all sources

Whereas these costs continue to grow and are not associated with the cost of the product or filling fee received then

Be it Resolved that the FPA work with the proper legislative process for the state to create a TAX for prescriptions to cover all communication costs inher-ent in Rx processing for e-prescribing communications to PBMrsquos and data re-porting costs for handling in-state re-porting of Controlled substances

Be it Further Resolved that the col-lected tax be used only for Pharmacy Claims Administrative Costs in han-dling the claims and bear no economic andor administrative burdens on the pharmacy

Resolution not Adopted

Contact Broward County Pharmacists AssociationDaniel P sweet RPhPast President Board Member954-232-8202

Intent With greater dependency on data network and associated costs to all pharmacies we have been placed in a pinch With the state controlling the process we gain on many fronts First no back-end costs on any Rx claim next the state can legally charge PBMrsquos un-der contract and will be responsible for collecting the tax and lastly the state can use their collective bargain-ing power to reduce the costs associat-ed with data transmission

Respectfully submitted

Broward County Pharmacists Associa-tion

O C T O B e r 2 0 0 9 | 21

RESOLUTION 5

RPh Not a Degree Designationleon County Pharmacy Association

WHEREAS pharmacists with a PharmD degree very proudly and rightfully use their degree designation of PharmD with their name and

WHEREAS pharmacists with a BsP degree generally use RPh with their name and

WHEREAS the designation of RPh for Registered Pharmacist is not a degree designation and was enacted into the original Florida Pharmacy Practice Act of 1889 The current practice act defines a pharmacist as a licensed Pharmacist lPh

THEREFORE the leon County Phar-macy Association moves that the FPA promote the use of the BPharm desig-nation for the BsP degree in place of the RPh designation which no longer is ref-erenced in the Florida Pharmacy Prac-tice Act

Motion to amendMotion to amend failsResolution Adopted

Contact persons Michael A Jackson- (850) 222- 2400Jim Powers- (850) 422- 0079

Background The resolution pretty well speaks for itself however it should be noted that in most national pharmacy publications pharmacists with a BsP degree are using the BPharm designa-tion behind their names In research-ing Dr Gene Gramlingrsquos book ldquoA His-tory of Pharmacy in Floridardquo it has the Florida Pharmacy Practice Act of 1889 which reads as follows section 4 Be it further enacted that the Board of Phar-macy shall register in a suitable book the names and places of residence of all persons to whom they issue certifi-cates and dates thereof It shall be the duty of said Board of Pharmacy to reg-ister without examination as registered pharmacists all pharmacists and drug-gists who are engaged in business in

the state of Florida at the passage of this act as owners or principals of stores or pharmacies In any village town or city of more than 200 inhabitants helliprdquo

RESOLUTION 6

Long Term Care regulatory frame-workFlorida Chapter of American society of Consultant Pharmacist

Whereas the Florida regulatory frame-work for long-term care pharmacy should be reviewed periodically to en-sure that it is consistent with current practice the FPA legislative commit-tee resolves to coordinate with the Flor-ida Chapter of the American society of Consultant Pharmacists to review the current regulatory framework for long-Term Care pharmacy in Florida

Resolved that the FPA legislative Committee coordinate with the Flori-da Chapter of the American society of Consultant Pharmacists to review the current regulatory framework for long-Term Care Pharmacy in Florida

Resolve substituted by the sponsor and accepted by the House substitute Resolution Adopted

Contact name and Phone stephen J Grabowski (727) 945-0760

Problem As the number of our nationrsquos seniors has grown so to have the de-mands and challenges placed upon the pharmacists serving those seniors who live in long-term care facilities since the practice of pharmacy has evolved over the years with increased workload demands changing roles of pharmacy technicians and new technologies so too have the regulatory guidelines and oversight responsibilities of the state boards

Intent not only will the practice of pharmacy need to adapt to the needs of seniors in long-term care facilities but state board of pharmacies and phar-macists under their preview must un-

derstand the impact of these changes Pharmacists practicing in long-term care must collaborate with state boards of pharmacy to update practice acts to ensure the protection of the health safety and welfare of the public

RESOLUTION 7

Evaluation of the ldquoPedigree Docu-mentation Programrdquo as stated in Flor-ida Statue 499Alachua County Association of Phar-macists

Whereas Florida statue 499 states that its purpose is to safeguard the public health and promote the public welfare by protecting the public from injury by product use and by merchandising de-ceit involving drugs devices and cos-metics

Whereas Pharmacies Pharmacists Pharmacy Wholesalers Pharmaceuti-cal Manufacturers and Pharmacy Re-packagers are all an integral part of this program

Whereas there is financial costs associ-ated with this program

Whereas there are penalties associated with this program

RESOLVED - The FPA request the Agency for Health Care Administra-tion to evaluate the ldquoPedigree Docu-mentation Programrdquo (49901212) to de-termine effectiveness and identification of improvements in the program for the protection of the public safety

Problem - The state of Florida enact-ed the ldquoPedigree Documentation Pro-gramrdquo (49901212) to keep adulterated and misbranded pharmaceuticals from consumers

Intent - To determine the effectiveness of the ldquoPedigree Documentation Pro-gramrdquo in achieving its purpose

Resolution Adopted

22 | f L O r i d a p h a r m a C y T O d a y

sion forward Please join us in Talla-hassee next March

FPA Legislative Key Contact Network

The FPA legislative Committee would like to match up at least one pharmacist with every key legisla-tor in the state If you currently have a relationship with one of your state legislators or if you are willing to take the steps listed above to be one of our grassroots advocates we want to know sign up to be a member of our Key legislative Contacts If you can help please let us know by con-tacting any member of the legisla-tive Committee listed below or you may contact me directly at klwizcomcastnet

lastly your legislative Commit-tee deserves a BIG ldquoThank Yourdquo for their time and effort These mem-bers have stepped up to help our profession grow and prosper Fol-lowing is a list of the members of the 2009-2010 FPA legislative Commit-teeDavid AndrewsDon BergemannGary DalinMitchell FingerhutAmy FerrolRamy GabrielMark HobbsMichael JacksonHumberto MartinezMark PercifieldManny PrieguezAlexander PytlarzTeysha RichardsonWilliam RiffeeTheresa Tollenorman TomakaAmanda Waltemathlori WeemsKaren WhalenRobert WilburChristine Yocum

Ken Wisniewski2009-2010 legislative Committee Chair

Viewpoint continued from page 5Respectfully submitted

Alachua County Association of Phar-macists

RESOLUTION 8

Continuous quality Improvement Program-Program EvaluationAlachua County Association of Phar-macists

Whereas the CQI Program is a system of standards and procedures to identify and evaluate quality-related events and improve patient care

Whereas some of the main goals of FPA and the Board of Pharmacy is to improve patient care and safety

Whereas an evaluation of the CQI Pro-gram may identify improvements that could be incorporated into the pro-gram

Whereas information about patient safety practices obtained from the pro-gram evaluation would be helpful if shared with the pharmacists of Florida and the nation

Resolved that the FPA request the Flor-ida Board of Pharmacy to conduct a Program evaluation of the Continuous Quality Improvement Program (64B16-27300)

Problem- since the enactment of 64B16-27300 Continuous Quality Improve-ment (CQI) Program there has not been a program evaluation

Intent- The evaluation of the CQI Pro-gram for effectiveness

Respectfully submittedAlachua County Association of Phar-macists

Resolution Adopted

JOIN TODAY

Florida Pharmacy Association

O C T O B e r 2 0 0 9 | 23

RESOLUTION 1Pharmacy Manager in Charge Man-date rule changes for the State require to be on-site 24 hr perweekBroward County Pharmacist Associa-tion Whereas There is no statutory or rule requirement for a Manager in Charge to be present in the PharmacyWhereas over the last few years in-ternet practices and non-pharmacist owned pharmacies have flourished in practice settings that were poorly su-pervisedBe it Resolved that the FPA propose that the Florida Pharmacy Board pro-mulgate rules which safeguard the public by having a Responsible par-ty (Pharmacy Manager of Record) on premises 24 hrs per given weekContact Broward County Pharmacist AssocDaniel P sweet RPhPast President Board Member954-232-8202Intent To protect the public from non-pharmacist owners to influence the practice of pharmacy by placing a phar-macist on record without reviewing the day to day operations of Pharmacy Practice and its Rules and statuesResolution Not AdoptedRespectfully SubmittedBroward County Pharmacist Associa-tion

RESOLUTION 2

Repeal 40 hr Rule for Community Pharmacy PermitBroward County Pharmacist Associa-tion Whereas the Practice of Pharmacy is evolving to an Information Profession where pharmacists will be reviewing medication therapyWhereas in populated areas there are multiple pharmacies in a compact radi-usBe it Resolved that the Florida Board of Pharmacy act in repealing the 40 hr rule for Community Pharmacy Permit withstanding that there is a pharmacy within 5 miles with extended hours or a 24 hr pharmacy within 2 milesContact

Daniel P sweet RPhPast President Board Member Broward County Pharmacist Assoc954-232-8202 Intent With Pharmacy Practice evolv-ing with more Pharmacists are going to use there education to create office type practice The Pharmacist will need to be off-site to review medications and council patients on the use of their medicationRespectfully SubmittedBroward County Pharmacist Associa-tion Motion to amendAmendment passedSpeaker unable to determine the posi-tion of the House on voice voteStanding vote called for by the House SpeakerResolution adopted on standing vote

RESOLUTION 3

Physician Dispensing ndash Limiting Scope as Pertains to Controlled Sub-stancesBroward County Pharmacists Associa-tionWhereas a significant problem regard-ing the misuse of controlled substances in our state has been identified andWhereas the checks and balances that the pharmacist brings to the equation of reducing the potential for misuse of controlled substances due to conflicts of interest is circumvented in the phy-sician dispensing model Be it Resolved that the FPA seek legis-lative changes to limit the in-office dis-pensing of controlled substances up to and not more than a three (3) day sup-ply Contact Broward County Pharmacists Associa-tionDaniel P sweet RPhPast President Board Member954-232-8202Motion to amend the phrase ldquowork with the respective BoardsrdquoAmendment is adoptedMotion to amend by adding the words ldquouprdquo and the words ldquoand not more thanrdquo to the first sentenceMotion to amend passes

Motion to amend by striking the last sentence of the resolveMotion to amend passesResolution AdoptedIntent With the advent of Pain Man-agement Clinics with Dispensaries Pa-tient safety and control is lost by not having a Pharmacist oversee the pa-tientsrsquo therapeutic management with-in the guidelines of the FDA and Con-trolled substance Abuse Act

RESOLUTION 4

Pharmacy Service TaxBroward County Pharmacists Associa-tionWhereas Pharmacy has assumed the burden of absorbing the costs associat-ed with receiving and sending data to all sourcesWhereas these costs continue to grow and are not associated with the cost of the product or filling fee received thenBe it Resolved that the FPA work with the proper legislative process for the state to create a TAX for prescriptions to cover all communication costs inher-ent in Rx processing for e-prescribing communications to PBMrsquos and data re-porting costs for handling in-state re-porting of Controlled substancesBe it Further Resolved that the col-lected tax be used only for Pharmacy Claims Administrative Costs in han-dling the claims and bear no economic andor administrative burdens on the pharmacyResolution Not AdoptedContact Broward County Pharmacists Associa-tionDaniel P sweet RPhPast President Board Member954-232-8202Intent With greater dependency on data network and associated costs to all pharmacies we have been placed in a pinch With the state controlling the process we gain on many fronts First no back-end costs on any Rx claim next the state can legally charge PBMrsquos un-der contract and will be responsible for collecting the tax and lastly the state can use their collective bargain-ing power to reduce the costs associat-

EmailFax Network HotlineReceive up-to-date and up-to-the-min-ute information on legislative Develop-ments Board of Pharmacy changes and other topics affecting the profession of pharmacy Call FPA Member services at (850) 222-2400 ext 110 ndash rsimmonspharmviewcom

Tax ResourceProvides defense and protection of your assets when you are audited Tax Resource will defend their clients for any income tax audit Federal or state for any tax year Tax Resource pio-neered the tax audit service business and is the largest audit defense firm in the United states Call (800) 92-AUDIT (800-922-8348)

Atlantic Coupon Redemption Center Receive payment in 25 working days of couponrsquos face value plus a rebate of 16 cents based on store volume Call Meredith McCord (800) 223-0398

Florida Commerce Federal Credit Union The chief objective of a credit union is not generating profits for stockholders but to provide service to its member The members benefit by getting attrac-tive returns on savings loans made at fair rates of interest plus enhanced and expanded services This is probably one of the best deals around Call (850) 488-0035

Collection Services For past due accounts call I C system Inc Call (800) 328-9595

Other Member Benefits n Discounted Continuing education

Programsn Monthly Issues of the Florida Phar-

macy Today Journal

ITC Deltacom offering FPA members exclusive associa-tion discounts on telecommunication ser-vices including local services long dis-tance data networks telephone systems and dedicated internet access Call 850-701-3200 or visit wwwitcdeltacomcom

Pharmacy Resource Materials FPA provides the most recent and rele-vant resources necessary to meet your professional needs This includes the Continuous Quality Improvement Manu-al Controlled substance Inventory Book-lets and Pharmacy signs Please call FPA Members services for more information 850-222-2400 ext 110

FPA Website Visit our FPA Website at wwpharmviewcom The site launched in December 2004 and revised in october 2008 includes a members only section The website of-fers a secure server so that you can reg-isters for Ce programs renew your mem-bership or purchase resources materials with your credit card

in keeping with a tradition of offering our members real benefits the Florida Pharmacy association (FPa) is proud to announce the introduction of sponsored discount Benefits Program these vendors are dedicated to providing an excellent value to all FPa members and associates to take advantage of benefits contact the vendors directly at the numbers listed below and identify yourself as a FPa member and have your membership id number handy

MEMBERSHIP MATTERS

Florida Pharmacy Association

24 | f L O r i d a p h a r m a C y T O d a y

Wyeth Bowl of Hygeia

Awarded to a pharmacist for out-standing community service above and beyond professional duties The use of the following selection criteria is re-quired

The recipient must be a Florida li- n

censed pharmacist and a member of FPAThe recipient must be living Awards n

are not presented posthumouslyThe recipient has not previously re- n

ceived the awardThe recipient is not currently serving n

nor has heshe served within the immediate past 2 years on its award committee or an officer of the asso-ciation in other than an ex officio ca-pacityThe recipient has compiled an out- n

standing record of community ser-vice which apart from hisher spe-cific identification as a pharmacist reflects well on the profession

James H Beal Award

Awarded to the Pharmacist of the Year The criteria established for this award is that the recipient be a Flori-da registered pharmacist and a mem-ber of FPA who has rendered outstand-ing service to pharmacy within the past five yearsCriteria

The recipient must be a Florida reg- n

istered pharmacist and a member of the FPAThe recipient has rendered outstand- n

ing service to pharmacy within the past five years

Technician of the Year AwardAwarded annually to a Florida

pharmacy technician who is recog-nized for hisher outstanding perfor-mance and achievement during hisher career

Criteria

Candidate must be a member of n

the Florida Pharmacy Association for at least 2 yearsCandidate must have demonstrat- n

ed contributions and dedication to the advancement of pharmacy technician practiceCandidate must have demonstrat- n

ed contributions to the Florida Pharmacy Association andor oth-er pharmacy organizationsCandidate must have demonstrat- n

ed commitment to community ser-viceCandidate is not a past recipient of n

this award

RQ Richards Award

This award is based on outstanding achievement in the field of pharmaceu-tical public relations in FloridaCriteria

The recipient must be a Florida reg- n

istered pharmacist and a member of the FPAThe recipient has displayed out- n

standing achievement in the field of pharmaceutical public relations in Florida

Frank TobackAZO Consultant

Pharmacist Award

CriteriaCandidate must be an FPA member n

registered with the Florida Board of Pharmacy as a consultant pharma-cist in good standingCandidate should be selected based n

on their outstanding achievements in the field of consultant pharmacy

DCPA Sidney Simkowitz

Pharmacy Involvement Award

Presented annually to a Florida pharmacist who has been active at the local and state pharmacy association level in advancement of the profes-sion of pharmacy in Florida

CriteriaA minimum of five years of active n

involvement in and contributions to the local association and FPACandidate must have held office at n

local level pharmacy associationMember in good standing for a pe- n

riod of at least five years in the FPA and must have served as a member or chairman of a committee of the associationCandidate must have been active- n

ly involved in a project that has or could potentially be of benefit to members of the profession

Pharmacists Mutual Companies

Distinguished Young Pharmacist

Award

Awarded to a young pharmacist for their involvement and dedication to the practice of pharmacyCriteria

licensed to practice for nine (9) years n

or lesslicensed to practice in the state in n

which selectedParticipation in national pharmacy n

association professional programs andor community service

IPA Roman Maximo Corrons

Inspiration amp Motivation Award

Interamerican Pharmacists Association created this award to honor the memo-ry of Roman M Corrons who inspired and motivated countless pharmacists to participate actively and aspire to take on leadership roles in their profession Roman was always there with guidance and support that motivated pharma-cists and encouraged visionary leader-ship approachable active membership and succession planning This award recognizes the motivators among us who inspire others to continue to ad-vance the professionCriteria

C a L L f O r N O m i N a T i O N s F P A A W A R D S 2 0 0 9 - 2 0 1 0

O C T O B e r 2 0 0 9 | 25

DEADLINE FOR NOMINATIONS FEBRUARY 28 2010

The recipient must be a Florida li- n

censed Pharmacist and a member of the FPACandidate should motivate others n

to excel within the profession by en-couraging them to be leadersCandidate is not necessarily an as- n

sociation officer but guides sup-ports andor inspires others

A brief description on the candidatersquos motivationalinspirational skills must accompany the nomination

The Jean Lamberti

Mentorship Award

The Jean lamberti Mentorship Award was established in 1998 to hon-or those pharmacists who have taken time to share their knowledge and ex-

perience with pharmacist candidates The award is named in honor of long time FPA member Jean lamberti for her effort in working with pharmacy studentsCriteria

The recipient must be an FPA mem- n

berThe recipient must serve as a role n

model for the profession of pharmacy

Innovative Pharmacy Practice

Award

Awarded to honor practicing phar-macists who have demonstrated inno-vation in pharmacy practice that has resulted in improved patient careCriteria

The recipient has demonstrated inno- n

vative pharmacy practice resulting in improved patient careThe recipient should be a practic- n

ing pharmacist within the geograph-ic area represented by the presenting Association

Qualified nominee A pharmacist prac-ticing within the geographic area repre-sented by the presenting Association

I AM PLEASED TO SUBMIT THE FOLLOWING NOMINATION

Name

Address

FOR THE FOLLOWING AWARD

(Nomination Deadline February 28 2009)

Wyeth Bowl of Hygeia Award

James H Beal Award

RQ Richards Award

Frank TobackAZO Consultant Pharmacist Award

DCPA Sydney Simkowitz Award

Pharmacists Mutual Co Distinguished Young Pharmacist Award

Academy of Pharmacy Practice Practitioner Merit Award

The Jean Lamberti Mentorship Award

IPA Roman Maximo Corrons Inspiration amp Motivation Award

Innovative Pharmacy Practice Award

Technician of the Year Award

NOMINATED BY

Name

Date Submitted

Signature

Please describe briefly below the nominees accomplishments indicating why you feel he or she should receive this award (Attach additional sheets if necessary)

C a L L f O r N O m i N a T i O N s F P A A W A R D S 2 0 0 9 - 2 0 1 0

F P A A W A R D S N O M I N A T I O N F O R M

mail nominatons to annual awards Florida Pharmacy association 610 n adams st tallahassee Fl 32301(850) 222-2400 FaX (850) 561-6758 dEadlinE For nominations is FEBrUary 28 2010

26 | f L O r i d a p h a r m a C y T O d a y

CALL FOR RESOLUTIONS TO THE 2010 HOUSE OF DELEGATES

The House of Delegates Board of Directors will meet in March 2010 to review and approve resolu-tions for the Annual Meeting The deadline for submitting resolutions is March 15 2010 PleAse noTe THIs DeADlIne

The following information will be needed when submitting resolutions

1 name of organization The name of the organization submitting the resolutions(s)2 name and telephone number of individuals A contact in the event clarification or further in-

formation is needed 3 Problem A statement of the problem addressed by the resolution4 Intent A statement of what passage of the resolution will accomplish5 Resolution Format (please type and use double spacing)

TiTle of ResoluTion

name of oRganizaTion

WheReas and

WheReas

TheRefoRe be iT

Resolved (ThaT The fPa oR subdivision of fPa)

ConTaCT name and Phone

PRoblem

inTenT

Page 10: October 2009 Florida Pharmacy Journal

10 | f L O r i d a p h a r m a C y T O d a y

Visits to doctor n s for influenza-like illness (IlI) continued to increase in the United states and overall are higher than levels expected for this time of the year Total influenza n hospitalization rates for laboratory-con-firmed influenza are higher than expected for this time of year for adults and children And for children 5-17 and adults 18-49 years of age hospitalization rates from April ndash october 2009 exceed average flu season rates (for octo-ber through April) The proportion of n deaths attributed to pneumonia and in-fluenza (PampI) based on the 122 Cities Report has increased and now exceeds what is normally expected at this time of year In addition 19 flu-related pediatric deaths were reported this week 16 of these deaths were confirmed 2009 H1n1 and 3 were unsubtyped influenza A and like-ly to be 2009 H1n1 A total of 76 laboratory confirmed 2009 H1n1 pediatric deaths have been reported to CDC since April Thirty-seven states are reporting n widespread influen-za activity at this time They are Alabama Alaska Ari-zona Arkansas California Colorado Delaware Florida Georgia Idaho Illinois Indiana Iowa Kansas Kentucky louisiana Maryland Minnesota Mississippi Missouri nebraska nevada new Hampshire new Mexico new York north Carolina ohio oklahoma oregon Penn-sylvania south Carolina south Dakota Texas Tennes-see Virginia Washington and Wyoming Any reports of widespread influenza activity in september and october are very unusual Almost all of the influenza n viruses identified so far are 2009 H1n1 influenza A viruses These viruses remain similar to the virus chosen for the 2009 H1n1 vaccine and remain susceptible to the antiviral drugs oseltamivir and zanamivir with rare exception CDC Guidance for Businesses and Employers To Plan and Respond to the

2009ndash2010 Influenza Season

IntroductionThe Us Department of Health and Human servicesrsquo

(HHs) Centers for Disease Control and Prevention (CDC) with input from the Us Department of Homeland security (DHs) has developed updated guidance for employers of all sizes to use as they develop or review and update plans to re-

spond to 2009 H1n1 influenza now and during the upcom-ing fall and winter influenza season Businesses and employ-ers in general play a key role in protecting employeesrsquo health and safety as well as in limiting the negative impact of in-fluenza outbreaks on the individual the community and the nationrsquos economy employers who have developed pandemic plans should review and revise their plans in light of the cur-rent 2009 H1n1 influenza outbreak to take into account the extent and severity of disease in their community as outlined in this guidance2

Planning for Fall and Winter Influenza SeasonBusinesses may have already been impacted by the spring

and summer outbreaks of 2009 H1n1 influenza affecting their employees CDC anticipates that more communities may be affected than were in the springsummer 2009 andor more severely affected reflecting wider transmission and possibly greater impact In addition seasonal influenza viruses may cause illness at the same time as 2009 H1n1 this fall and win-ter In response to the anticipated spread of 2009 H1n1 in-fluenza the CDC has revised its recommendations to assist businesses and other employers of all sizes

The severity of illness that 2009 H1n1 influenza flu will cause (including hospitalizations and deaths) or the amount of illness that may occur as a result of seasonal influenza dur-ing the 2009ndash2010 influenza season cannot be predicted with a high degree of certainty Therefore employers should plan to be able to respond in a flexible way to varying levels of severity and be prepared to refine their pandemic influenza response plans if a potentially more serious outbreak of in-fluenza evolves during the fall and winter More people and communities are likely to be affected as influenza is more widely transmitted The CDC and its partners will continu-ously monitor national and international data on the severity of illness caused by influenza will disseminate the results of these ongoing surveillance assessments and will make addi-tional recommendations as needed

Considerations of Appropriate Response Strategies

All employers must balance a variety of objectives when determining how best to decrease the spread of influenza and lower the impact of influenza in the workplace They should

2009 H1N1 Flu Situation UpdateKey Flu Indicatorseach week CDC analyzes information about influenza disease activity in the United states and publishes findings of key flu indicators in a report called FluView During the week of september 27 - october 3 2009 a review of the key indictors found that influenza activity increased in the United states Below is a summary of the most recent key indicators

O C T O B e r 2 0 0 9 | 11

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consider and communicate their objectives which may in-clude one or more of the following (a) reducing transmis-sion among staff (b) protecting people who are at increased risk of influenza related complications from getting infected with influenza (c) maintaining business operations and (d) minimizing adverse effects on other entities in their supply chains

employers should expect to see a wide range of disease patterns across the country employers should base their strategies and response to influenza outbreaks on local infor-mation from local and state public health authorities some of the key indicators that should be used when making deci-sions on appropriate responses are

Disease severity (ie hospitalization and death rates) in n

the community where business is locatedextent of disease (number of people who are sick) in the n

communityAmount of worker absenteeism in your business or orga- n

nizationImpact of disease on workforce populations that are vul- n

nerable and at higher risk (eg pregnant women employ-ees with certain chronic medical conditions that put them at increased risk for complications of influenza) andother factors that may affect employeesrsquo ability to get to n

work such as school dismissals or closures due to high levels of illness in children or school dismissalsemployers need to plan now to be able to obtain updated

information on these indicators from state and local health departments in each community where they have a business presence and to respond quickly to the changing reality on the ground employers with more than one business location are encouraged to provide local managers with the authori-ty to take appropriate actions outlined in their business pan-demic plan based on the condition in each locality

Preparedness and Response Recommendations

PLANNING FOR 2009 H1N1 AND THE 2009ndash2010 INFLUENzA SEASON

This guidance is designed to help employers plan for and respond to two possible conditions 1) a continuation of the current level of severity of influenza as was observed during the spring and summer of 2009 and 2) a more severe outbreak The first situation is what is being experienced in some com-munities nowmdashan outbreak of similar severity of 2009 H1n1 to the spring However even if the severity of the virus does not change planners should expect that there will be more people who are ill in the fall and winter as 2009 H1n1 out-breaks coincide with the seasonal influenza season and this level of absenteeism may impact business operations A sec-ond situation involves an outbreak of greater severity includ-ing more people with severe illness and thus more people hospitalized for influenza complications more deaths from influenza and a probable escalation of absenteeism

12 | f L O r i d a p h a r m a C y T O d a y

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Businesses should have an understanding of their normal seasonal absenteeism rates and know how to monitor their personnel for any unusual increases in absenteeism through the fall and winter Business continuity planners should as-sess their essential business functions now to determine at what threshold of absenteeism those functions would be threatened if absenteeism escalates Planners can then pre-pare to take more aggressive measures to protect continuity as absenteeism escalates towards those thresholds

even employers in communities that have not yet felt ef-fects from 2009 H1n1 influenza should plan for an influen-za outbreak this fall and winter and be ready to implement strategies to protect their workforce while ensuring continuity of operations During an influenza pandemic all sick people should stay home and away from the workplace hand wash-ing and covering coughs and sneezes should be encouraged and routine cleaning of commonly touched surfaces should be performed regularly If the severity of illness increases employers should be ready to implement additional measures while continuing to rigorously implement the interventions recommended for an outbreak similar to the springsummer 2009 H1n1 outbreak If severity increases public health offi-cials may recommend a variety of methods for increasing the physical distance between people (called social distancing) to reduce the spread of disease such as school dismissal child care program closure canceling large community gatherings canceling large business-related meetings spacing workers farther apart in the workplace canceling non-essential travel

and recommending work-from-home strategies for workers that can conduct their business remotely

Please remember employers should develop capabilities to respond to both scenarios and these two conditions serve only as a planning framework Businesses and other employ-ers should develop flexible capabilities to respond to either situation given the difficulties in accurately predicting the ex-tent and severity of 2009 H1n1 as it unfolds during the 2009ndash2010 influenza season Individual businesses may implement additional actions if they experience high absenteeism or business continuity is compromised In addition employers should be aware that other emergencies such as hurricanes or other natural disasters may happen during the fall and win-ter creating additional challenging problems for businesses and communities

WORk WITH STATE AND LOCAL PUBLIC HEALTH PARTNERS

Coordination with state and local health officials is strong-ly encouraged for all businesses so that timely and accurate information can guide appropriate responses in each location where their operations reside since the intensity of an out-break may differ according to geographic location local pub-lic health officials will be issuing guidance specific to their communities Also businesses could work with public health and community leaders to explore ways of improving accessi-bility of vaccination for the workforce and in the community

kEEP SICk WORkERS HOME

one of the best way to reduce the spread of influenza is to keep sick people away from well people However in the fall and winter it will not be possible to quickly determine if workers who are ill have 2009 H1n1 seasonal influenza or any number of other different conditions based on symptoms alone local and state health department surveillance infor-mation can be helpful to know when influenza is circulating in the community although the availability timeliness and amount of local information on when influenza is circulating may vary substantially from community to community

Workers who have symptoms of influenza-like illness3 are recommended to stay home and not come to work until at least 24 hours after their fever has resolved4 Regardless of the size of the business or the function or services that you pro-vide all employers should plan now to allow and encourage sick workers to stay home without fear of losing their jobs CDC recommends this strategy for all levels of severity em-ployers should plan now for how they will operate if there is significant absenteeism from sick workers However employ-ers should know that some persons with influenza including those ill with 2009 H1n1 do not have fever Therefore it will not be possible to exclude everyone who is ill with influenza from the workplace

BE PREPARED IF SCHOOLS DISMISS STUDENTS OR CHILD CARE PROGRAMS CLOSE

In some communities schools may dismiss students and childcare programs may close particularly if the severity in-

O C T O B e r 2 0 0 9 | 13

creases5 officials will make these decisions to protect pub-lic health but they will affect your businessrsquos functioning es-pecially affecting absenteeism Plan now to determine how you will operate if absenteeism spikes from increases in sick workers those who stay home to care for ill family members and those who must stay home to watch their children if dis-missed from school Businesses and other employers should prepare to institute flexible workplace and leave policies for these workers

Actions Employers Should Take NowReview or establish a flexible influenza pandemic plan n

and involve your employees in developing and reviewing your planConduct a focused discussion or exercise using your plan n

to find out ahead of time whether the plan has gaps or problems that need to be corrected before flu seasonHave an understanding of your organizationrsquos normal n

seasonal absenteeism rates and know how to monitor your personnel for any unusual increases in absenteeism through the fall and winterengage state and local health department to confirm n

channels of communication and methods for dissemina-tion of local outbreak informationAllow sick workers to stay home without fear of losing n

their jobsDevelop other flexible leave policies to allow workers to n

stay home to care for sick family members or for children if schools dismiss students or child care programs closeshare your influenza pandemic plan with employees and n

explain what human resources policies workplace and leave flexibilities and pay and benefits will be available to themshare best practices with other businesses in your com- n

munities (especially those in your supply chain) cham-bers of commerce and associations to improve communi-ty response efforts andAdd a ldquowidgetrdquo or ldquobuttonrdquo to your company Web page n

or employee Web sites so employees can access the lat-est information on influenza wwwcdcgovwidgets and wwwcdcgovsocialMediaCampaignsH1n1buttonshtml

Important Components of an Influenza Pandemic Plan

Be prepared to implement multiple measures to protect n

workers and ensure business continuity A layered ap-proach will likely work better than using just one mea-sureIdentify possible work-related exposure and health risks n

to your employees The occupational safety and Health Administration (osHA) has developed tools to determine if your employees are at risk of work-related exposures and if so how to respond (see wwwoshagovdsgtopics

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14 | f L O r i d a p h a r m a C y T O d a y

City of Tallahassee Declares October as American Pharmacists Month

Tallahassee Mayor John Marks has declared october as American Pharmacist Month In a procla-mation signed on october 1 2009 Mayor Marks urged all citizens to acknowledge the valuable servic-es of pharmacists to provide safe affordable and beneficial pharma-ceutical care services and prod-ucts to all citizens

The Florida Pharmacy Associa-tion wish to thank our FAMU in-tern Carina Davison for her work with the City of Tallahassee dur-ing her rotation here at the FPA of-fice

FROM THE GOVERNING BODY OFTHE CITY OF TALLAHASSEE

PROCLAMATIONWhereas pharmacy is one of the oldest of the health professions con-cerned with the health and well-being of all people andWhereas today there are over 254000 pharmacists practicing in the United States and over 400 pharmacists licensed in the city of Tallahassee providing services to assure the rational and safe use of all medications andWhereas the use of medication as a cost-effective alternative to more expensive medical procedures is becoming a major force in moderating overall health care costs andWhereas todays powerful medications require greater attention to the manner in which they are used by different patient population groups -both clinically and demographically andWhereas it is important that all users of prescription and nonprescrip-tion medications or their caregivers be knowledgeable about and share responsibility for their own drug therapy andWhereas the American Pharmacists Association and the Florida Phar-macy Association have declared October as American Pharmacists Month with the theme Know Your Medicines - Know Your Pharmacist

Now therefore be it resolved that I John Marks do hereby proclaim October as

American Pharmacists Month

in the city of Tallahassee and urge all our citizens to acknowledge the valuable services of pharmacists to provide safe affordable and beneficial pharmaceutical care services and products to all citizens

O C T O B e r 2 0 0 9 | 15

pandemicfluindexhtml)Review human resources policies to make sure that poli- n

cies and practices are consistent with public health rec-ommendations and are consistent with existing state and federal workplace laws (for more information on employ-er responsibilities employers should visit the Department of laborrsquos and the equal employment opportunity Com-missionrsquos websites at wwwdolgov and wwweeocgov)Allow employees to stay home if they are ill have to care n

for ill family members or must watch their children if schools or childcare facilities closeexplore whether you can establish policies and practices n

such as flexible worksites (eg telecommuting) and flex-ible work hours (eg staggered shifts) when possible to increased the physical distance among employees and be-tween employees and others if local public health author-ities recommend the use of social distancing strategies ensure that you have the information technology and in-frastructure needed to support multiple workers who may be able to work from homeIdentify essential business functions essential jobs or n

roles and critical elements within your supply chains (eg raw materials suppliers subcontractor servicesproducts and logistics) required to maintain business op-erations Plan for how your business will operate if there is increasing absenteeism or these supply chains are inter-ruptedset up authorities triggers and procedures for activat- n

ing and terminating the companyrsquos response plan alter-ing business operations (eg possibly changing or closing operations in affected areas) and transferring business knowledge to key employees Work closely with your lo-cal health officials to identify these triggersPlan to minimize exposure to fellow employees or the n

public if public health officials call for social distancingestablish a process to communicate information to work- n

ers and business partners on your 2009 H1n1 influenza response plans and latest 2009 H1n1 influenza informa-tion Anticipate employee fear anxiety rumors and mis-information and plan communications accordingly

over the past several years HHs CDC DHs osHA eeoC and other federal partners have developed guidelines including checklists to assist businesses industries and oth-er employers in planning for a pandemic outbreak Review these resources to assist in your planning efforts wwwflugovplanworkplaceplanningindexhtml

The recommendations that follow provide guidance on how employers can develop strategies and respond to two levels of severity local conditions will influence the deci-sions that public health officials make regarding community-level strategies employers should take the time now to learn about plans in place in each community where they have a presence

Recommended Employer Responses for the 2009-2010 Flu SeasonRecommended Action Steps under Current Flu Conditions (similar severity as in SpringSummer 2009)

If the severity of illness in the fall and winter is similar to that observed in the spring and summer of 2009 the effects of 2009 H1n1 influenza may not have substantial impacts on absenteeism though some increase in absenteeism over the spring season is anticipated When larger numbers of people become ill correspondingly larger numbers of people will be-come seriously ill and may require hospitalization

SICK PERSONS SHOuLD STAY HOMEAdvise workers to be alert to any signs of fever and any n

other signs of influenza-like illness6 before reporting to work each day and notify their supervisor and stay home if they are ill employees who are ill should not travel while they are illCDC recommends that employees with influenza-like ill- n

ness remain at home until at least 24 hours after they are free of fever (100deg F [378deg C] or greater) or signs of a fever without the use of fever-reducing medicationsexpect sick employees to be out for about 3 to 5 days in n

most cases even if antiviral medications are usedensure that your sick leave policies are flexible and con- n

sistent with public health guidance and that employees are well aware of these policiesTalk with companies that provide your company with n

contract or temporary workers about the importance of sick workers staying home and encourage them to devel-op non-punitive leave policiesDo not require a doctorrsquos note for workers who are ill with n

influenza-like illness to validate their illness or to return to work as doctorrsquos offices and medical facilities may be extremely busy and may not be able to provide such doc-umentation in a timely way employees who are well but who have an ill family mem- n

ber at home with influenza can go to work as usual How-ever these employees should monitor their health every day and notify their supervisor and stay home if they be-come ill employers should maintain flexible policies that permit employees to stay home to care for an ill family member employers should be aware that more workers may need to stay at home to care for ill children or other ill family members than is usual

SICK EMPLOYEES AT WORK SHOuLD BE ASKED TO gO HOME

CDC recommends that workers who appear to have an n

influenza-like illness upon arrival or become ill during the day be promptly separated from other workers and be advised to go home until at least 24 hours after they are free of fever (100deg F [378deg C] or greater) or signs of a fever without the use of fever-reducing medications Those who become ill with symptoms of an influenza-like n

illness during the work day should be

16 | f L O r i d a p h a r m a C y T O d a y

o separated from other workers and asked to go home promptly (For recommendations on personal protec-tive equipment for a person assisting the ill employee see Interim Recommendations for Facemask and Res-pirator Use to Reduce novel Influenza A (H1n1) Vi-rus Transmission httpwwwcdcgovh1n1flumaskshtm)

o When possible and if they can tolerate it workers with influenza-like illness should be given a surgical mask to wear before they go home if they cannot be placed in an area away from others

If an employee becomes ill at work inform fellow employ- n

ees of their possible exposure in the workplace to influen-za-like illness but maintain confidentiality as required by the Americans with Disabilities Act (ADA) For more in-formation on privacy issues please refer to httpwwwflugovfaqworkplace_questionsequal_employmentin-dexhtmlPrivacyIssues employees exposed to a sick co-worker should monitor themselves for symptoms of influ-enza-like illness and stay home if they are sick

COVER COugHS AND SNEEzESInfluenza viruses are thought to spread mainly from per- n

son to person in respiratory droplets of coughs and sneez-es Provide employee messages on the importance of cov-ering coughs and sneezes with a tissue or in the absence of a tissue onersquos sleeve Place posters in the worksite that encourages cough and sneeze etiquetteProvide tissues and no-touch disposal receptacles for use n

by employees

IMPROVE HAND HYgIENEInfluenza may be spread via contaminated hands In- n

struct employees to wash their hands often with soap and water or use an alcohol-based hand cleaner especially af-ter coughing or sneezing Place posters in the worksite that encourage hand hygieneProvide soap and water and alcohol-based hand sanitiz- n

ers in the workplace ensure that adequate supplies are maintained If feasible place hand sanitizers in multiple locations or in conference rooms to encourage hand hy-giene

CLEAN SuRFACES AND ITEMS THAT ARE MORE LIKELY TO HAVE FREquENT HAND CONTACT

Frequently clean all commonly touched surfaces in the n

workplace such as workstations countertops and door-knobs Use the cleaning agents that are usually used in these areas and follow the directions on the labelno additional disinfection beyond routine cleaning is rec- n

ommendedENCOuRAgE EMPLOYEES TO gET VACCINATED

encourage your employees to get vaccinated for seasonal n

influenza For information on groups prioritized for sea-sonal influenza vaccines please see httpwwwcdcgovfluprotectkeyfactshtm encourage your employees also to get vaccinated for 2009 n

H1n1 influenza when vaccines are available to them Dif-ferent groups are prioritized for 2009 H1n1 influenza than for seasonal influenza For information on groups prioritized for H1n1 influenza vaccine please see httpwwwcdcgovh1n1fluvaccinationaciphtm offer opportunities at your worksite for influenza vacci- n

nation Consider granting employees time off from work to get vaccinated if not offered at the worksiteReview the health benefits you offer employees and work n

with insurers to explore if they can cover the costs of in-fluenza vaccination

TAKE MEASuRES TO PROTECT EMPLOYEES WHO ARE AT HIgHER RISK FOR COMPLICATIONS OF INFLuENzA

People at higher risk for complications from influenza in- n

clude pregnant women children under 5 years of age adults and children who have chronic lung disease (such as asthma) heart disease diabetes diseases that suppress the immune system and other chronic medical conditions and those who are 65 years or older7 Inform employees that some people are at higher risk of n

complications from influenza and that if they are at high-er risk for complications they should check with their health care provider if they become ill early treatment with antiviral medications is very important for people at high risk because it can prevent hospitalizations and deathsencourage employees recommended for seasonal influ- n

enza vaccine and 2009 H1n1 vaccines to get vaccinated as soon as these vaccines are available For information on groups prioritized for seasonal and H1n1 vaccines please see httpwwwcdcgovfluprotectkeyfactshtm and httpwwwcdcgovh1n1fluvaccinationaciphtmemployees who become ill and are at increased risk of n

complications from influenza and ill employees who are concerned about their illness should call their health care provider for advice Their health care provider might want them to take antiviral medications to reduce the likelihood of severe complications from the influenzasee n httpwwwcdcgovh1n1fluqahtm for more infor-mation

PREPARE FOR INCREASED NuMBERS OF EMPLOYEE ABSENCES DuE TO ILLNESS IN EMPLOYEES AND THEIR FAMILY MEMBERS AND PLAN WAYS FOR ESSENTIAL BuSINESS FuNCTIONS TO CONTINuE

employers should plan to monitor and respond to ab- n

senteeism at the workplace Implement plans to contin-ue your essential functions in case you experience high-er than usual absenteeism elevated absentee rates can be due to sick workers those who need to stay home and care for others or from workers with conditions that make them at higher risk for complications from influen-za and who may be worried about coming to work Cross-train personnel to perform essential functions so n

that the workplace is able to operate even if key staff are absent

O C T O B e r 2 0 0 9 | 17

Assess your essential functions and the reliance that oth- n

ers and the community have on your services or products Be prepared to change your business practices if need-ed to maintain critical operations (eg identify alternative suppliers prioritize customers or temporarily suspend some of your operations if needed)

ADVISE EMPLOYEES BEFORE TRAVELINg TO TAKE CERTAIN STEPS

Advise workers to check themselves for fever and any n

other signs of influenza-like illness before starting travel and notify their supervisor and stay home if they are illAdvise employees who will be traveling or on temporary n

assignment about precautions they may need to take to protect their health and who to call if they become illemployees who become ill while traveling and are at in- n

creased risk of complications from influenza and oth-ers concerned about their illness should promptly call a health care provider for adviceensure employees who become ill while traveling or on n

temporary assignment understand that they should noti-fy their supervisor If outside the United states ill employees should fol- n

low your companyrsquos policy for obtaining medical care or contact a health care provider or overseas medical assis-tance company to assist them with finding an appropriate health care provider in that country if needed A Us con-sular officer can help locate health care services However Us embassies consulates and military facilities do not have the legal authority capability and resources to evac-uate or give medications vaccines or medical care to pri-vate Us citizens overseassee CDCrsquos Travel Website ( n httpwwwncdcgovtrav-elcontentnovel-h1n1-fluaspx) for more information for travelers

PREPARE FOR THE POSSIBILITY OF SCHOOL DISMISSAL OR TEMPORARY CLOSuRE OF CHILD CARE PROgRAMS

Although school dismissals or closures of child care pro- n

grams are not likely to be generally recommended at this level of severity they are possible in some jurisdictions Be prepared to allow workers to stay home to care for n

children if schools are dismissed or child care programs are closed strongly recommend that parents not bring their children n

with them to work while schools are dismissedensure that your leave policies are flexible and non-puni- n

tive Cross-train employees to cover essential functions n

Read CDCrsquos Guidance for state and local Public Health n

officials and school Administrators for school (K-12) Re-sponses which can be found at httpwwwcdcgovh1n-1fluschoolsschoolguidancehtm to better understand the conditions under which schools may be dismissed

Under Conditions with Increased Severity Compared to SpringSummer 2009

If 2009 H1n1 becomes more severe than during springsummer 2009 absenteeism will likely be far greater and ad-ditional protective measures to slow the spread of influenza may be considered Check with your local health department for the extent and severity of disease activity in your commu-nity and for recommendations for necessary measures Deci-sions about what tools should be used during a severe 2009 H1n1 outbreak should be based on the observed severity of the event its impact on specific subpopulations the need to protect workers the expected benefit of the interventions the feasibility of success of implementing these measures the di-rect and indirect costs of different interventions and the ef-fects on critical infrastructure health care delivery and soci-ety The following are measures that should be considered if influenza severity increases and are meant for use in addition to the measures outlined above

CONSIDER ACTIVE SCREENINg OF EMPLOYEES WHO REPORT TO WORK

If influenza severity increases at the beginning of the n

workday or with each new shift all employees should be asked about symptoms consistent with an influenza ill-ness8 such as fever or chills AnD cough or sore throat If the severity or the impact of influenza increases CDC rec-ommends that persons with an influenza-like illness not come to work or travel and remain at home for at least 7 days even if symptoms resolve sooner Individuals who are still sick 7 days after they become ill should continue to stay home until at least 24 hours after symptoms have resolved If influenza severity increases CDC recom-mends that people stay home at least 7 days whether or not antiviral medications are usedMake sure your sick leave policies are flexible and consis- n

tent with public health guidance and that your employ-ees are aware of these policies Do not require a doctorrsquos note for workers who are ill with n

influenzaContinue to advise workers to check for any signs of ill- n

ness before reporting to work each dayMake contingency plans for increased absenteeism n

caused by illness in workers or illness in workersrsquo family members that would require them to stay home Planning for absenteeism could include cross-training current em-ployees or hiring temporary workers

CONSIDER ALTERNATIVE WORK ENVIRONMENTS FOR EMPLOYEES AT HIgHER RISK FOR COMPLICATIONS OF INFLuENzA DuRINg PERIODS OF INCREASED INFLuENzA ACTIVITY IN THE COMMuNITY

employees with an underlying chronic medical condition n

or who are pregnant should consider calling their health care provider for advice about how to reduce their risk of exposure to influenza and if they get sick how best to get early treatment for influenzaIf influenza severity increases and if influenza transmis- n

sion is high in the community employers may want to evaluate their work environment to see how they can re-

18 | f L O r i d a p h a r m a C y T O d a y

duce the number of people that high-risk employees come in contact with such as exploring options for telecom-muting from home (if feasible) employers can also think about how workers at higher risk for influenza compli-cations could be reassigned to duties that have minimal contact with other employees clients or customers If these workers cannot be reassigned duties to reduce con-tact with others are concerned about their ability to avoid influenza at the workplace or will be in crowded condi-tions at work or while commuting to work then consider allowing employees at higher risk for influenza complica-tions to stay home from workCDC recommends that ill workers at higher risk of com- n

plications from influenza seek early treatment if they be-come illsee n httpwwwcdcgovh1n1fluqahtm for more infor-mation

CONSIDER INCREASINg SOCIAL DISTANCINg IN THE WORKPLACE

If influenza severity increases local public health offi- n

cials may recommend that employers implement mea-sures to increase the physical distance between people in the workplace to reduce the spread of influenza The goal should be for there to be at least 6 feet of distance between people at most times This is not a simple or easy strategy and would typically require considerable flexibility These measures may include avoiding crowded work settings canceling business-related face-to-face meetings spacing workers farther apart canceling non-essential travel in-creasing use of teleworking and using staggered shifts to allow fewer workers to be in the workplace at the same time9

If appropriate for your type of business and feasible re- n

view or develop policies for teleworking including an as-sessment of the capabilities and gaps of your current com-puter systems and availability of technical support Take remedial steps if needed and test your system in advance to assure it can handle an increase in remote usersRecommendations to increase social distancing may af- n

fect community functioning Because supply chain issues may be affected make sure you have plans for back-up suppliers

CONSIDER CANCELINg NON-ESSENTIAL BuSINESS TRAVEL AND ADVISINg EMPLOYEES ABOuT POSSIBLE DISRuPTIONS WHILE TRAVELINg OVERSEAS

If the severity of the outbreak worldwide increases in the n

fall or winter public health officials may recommend so-cial distancing strategies which include canceling non-es-sential travel and travel restrictions may be enacted by some countries which may limit the ability of employees to return home if they become ill while on travel statusIf influenza severity increases travelers should also be n

prepared for travel delays health screenings and other activities targeted towards travelers Provide information to travelers about contingency plans and how their travel

can be rebooked for these possible delays

PREPARE FOR SCHOOL DISMISSAL OR CLOSuRE OF CHILD CARE PROgRAMS

school dismissals and closure of child care programs are n

more likely at higher levels of severity Be prepared to allow workers to stay home to care for their children if schools are dismissed or child care programs are closed If dismissal is needed schools are being advised to dis-miss students for at least 5 to 7 calendar days or longer if necessary encourage employees who perform essential functions n

and who have children to plan for contingencies should local child care programs close or schools dismiss stu-dents Be prepared for prolonged absenteeism if schools dismiss n

students for an extended time Make sure your leave poli-cies are flexible and non-punitive employers should strongly recommend that parents not n

bring their children with them to work while schools are dismissedImplement flexible workplace policies like teleworking n

and staggered shifts Cross-train employees to cover essential functions n

Read CDCrsquos school guidance which can be found at n

httpwwwcdcgovh1n1fluschoolsschoolguidancehtm to better understand the conditions under which schools may be dismissed

OTHER CONSIDERATIONSAs part of their comprehensive pandemic planning n

some public and private sector employers have stock-piled or otherwise arranged for influenza antiviral drugs to be available for their employees during a pandemic To guide these efforts HHs released guidance to busi-nesses in 2008 entitled Considerations for Antiviral Drug Stockpiling by Employers in Preparation for an Influenza Pan-demic (httpwwwflugovvaccineantiviral_employershtml) see updated interim guidance on the use of antivi-ral agents for treatment and prophylaxis of 2009 H1n1 in-fluenza infection at httpwwwcdcgovh1n1flurecom-mendationshtmemployers should be aware that the severity of 2009 n

H1n1 influenza could change rapidly therefore local public health recommendations to communities and busi-nesses could be revised quickly Planners should identi-fy sources of timely and accurate information so they are aware of changes to recommendations and can promptly implement revised or additional measures recommended by local public health officials

O C T O B e r 2 0 0 9 | 19

The Florida Pharmacy Association 2009 ResolutionsPresented to the House of Delegates

It is an honor to serve as your 2009-2010 FPA speaker of the House of Delegates I have the privilege of follow-ing in the footsteps of some of FPArsquos most effective and prominent leaders and speakers including most recently suzanne Kelly

The House meeting held during the 2009 FPA An-nual Meeting in st Augustine was a lively and exciting meeting for our association If you missed the meeting or unaware of how the FPA House of Delegates serves itrsquos membership I strongly encourage you to contact myself directly or any of the FPA House of Delegates Board of Di-rectors Any one of us will be happy to get you involved and excited about this group and share with you how ev-ery resolution directly impacts the direction of the associ-ation and you its member

The FPA Board of Directors of the House of Delegates is made up of the following faithful memberssuzanne Kelly ndash Chair of the House of Delegates Board

of DirectorsAlexander Pytlarz ndash speaker of the House of DelegatesWilliam Riffee ndash Vice-speakershannon Zandy ndash DirectorCaridad Ferree ndash DirectorJosh Fields ndash Director Karen Whalen ndash FPA PresidentHumberto Martinez ndash FPA President-electMichael A Mone ndash ParliamentarianMichael A Jackson ndash FPA executive Vice President amp

Ceoon behalf of the House Board of Directors Irsquod like to

welcome the newest members of the House Board of Di-

rectors Dean William Riffee Vice-speaker and Caridad Ferree Director were elected at this years FPA Annual Meeting We look forward to their involvement

The House also had the privilege of introducing two new invited organizations to the House They are nige-rian Pharmacists Association and Florida Independent Pharmacy network

If any member represents an organization that wants to be involved in the House of Delegates please contact me directly I will be happy to work with you and your or-ganization so you are represented within the House and have your voice heard by all FPA members

At this past yearrsquos meeting the House reviewed eight submitted resolutions Below is a summary of the actions of the each resolution that the House took and to what committee the adopted resolutions were referred to by your President Karen Whalen Please review these reso-lutions as they will impact the policies and direction of our association If you have any comments or questions please feel free to contact me or any member of the House Board As always itrsquos never too early to start thinking about possible resolutions for next years House

Thank you for the opportunity to serve you and the Florida Pharmacy Association

Best regards

Alexander Pytlarz2009-2010 speaker of the House of Delegates

RESOLUTION 1

Pharmacy Manager in Charge Man-date rule changes for the State require to be on-site 24 hr perweekBroward County Pharmacist Associa-tion

Whereas There is no statutory or rule requirement for a Manager in Charge to be present in the Pharmacy

Whereas over the last few years in-ternet practices and non-pharmacist owned pharmacies have flourished in practice settings that were poorly su-pervised

Be it Resolved that the FPA propose that the Florida Pharmacy Board pro-mulgate rules which safeguard the public by having a Responsible par-ty (Pharmacy Manager of Record) on

premises 24 hrs per given week

Contact Broward County Pharmacist AssocDaniel P sweet RPhPast President Board Member954-232-8202

Intent To protect the public from non-pharmacist owners to influence the practice of pharmacy by placing a phar-

20 | f L O r i d a p h a r m a C y T O d a y

macist on record without reviewing the day to day operations of Pharmacy Practice and its Rules and statues

Resolution not Adopted

Respectfully submitted

Broward County Pharmacist Associa-tion

RESOLUTION 2

Repeal 40 hr Rule for Community Pharmacy PermitBroward County Pharmacist Associa-tion

Whereas the Practice of Pharmacy is evolving to an Information Profession where pharmacists will be reviewing medication therapy

Whereas in populated areas there are multiple pharmacies in a compact radi-us

Be it Resolved that the Florida Board of Pharmacy act in repealing the 40 hr rule for Community Pharmacy Permit withstanding that there is a pharmacy within 5 miles with extended hours or a 24 hr pharmacy within 2 miles

Contact Daniel P sweet RPhPast President Board Member Broward County Pharmacist Assoc954-232-8202

Intent With Pharmacy Practice evolv-ing with more Pharmacists are going to use there education to create office type practice The Pharmacist will need to be off-site to review medications and council patients on the use of their medication

Respectfully submittedBroward County Pharmacist Associa-tion

Motion to amendAmendment passedspeaker unable to determine the posi-

tion of the House on voice votestanding vote called for by the House speakerResolution adopted on standing vote

RESOLUTION 3

Physician Dispensing ndash Limiting Scope as Pertains to Controlled Sub-stancesBroward County Pharmacists Associa-tion

Whereas a significant problem regard-ing the misuse of controlled substances in our state has been identified and

Whereas the checks and balances that the pharmacist brings to the equation of reducing the potential for misuse of controlled substances due to conflicts of interest is circumvented in the phy-sician dispensing model

Be it Resolved that the FPA seek legis-lative changes to limit the in-office dis-pensing of controlled substances up to and not more than a three (3) day sup-ply Contact Broward County Pharmacists AssociationDaniel P sweet RPhPast President Board Member954-232-8202

Motion to amend the phrase ldquowork with the respective BoardsrdquoAmendment is adoptedMotion to amend by adding the words ldquouprdquo and the words ldquoand not more thanrdquo to the first sentenceMotion to amend passesMotion to amend by striking the last sentence of the resolveMotion to amend passesResolution Adopted

Intent With the advent of Pain Man-agement Clinics with Dispensaries Pa-tient safety and control is lost by not having a Pharmacist oversee the pa-tientsrsquo therapeutic management with-in the guidelines of the FDA and Con-trolled substance Abuse Act

RESOLUTION 4

Pharmacy Service TaxBroward County Pharmacists Associa-tion

Whereas Pharmacy has assumed the burden of absorbing the costs associat-ed with receiving and sending data to all sources

Whereas these costs continue to grow and are not associated with the cost of the product or filling fee received then

Be it Resolved that the FPA work with the proper legislative process for the state to create a TAX for prescriptions to cover all communication costs inher-ent in Rx processing for e-prescribing communications to PBMrsquos and data re-porting costs for handling in-state re-porting of Controlled substances

Be it Further Resolved that the col-lected tax be used only for Pharmacy Claims Administrative Costs in han-dling the claims and bear no economic andor administrative burdens on the pharmacy

Resolution not Adopted

Contact Broward County Pharmacists AssociationDaniel P sweet RPhPast President Board Member954-232-8202

Intent With greater dependency on data network and associated costs to all pharmacies we have been placed in a pinch With the state controlling the process we gain on many fronts First no back-end costs on any Rx claim next the state can legally charge PBMrsquos un-der contract and will be responsible for collecting the tax and lastly the state can use their collective bargain-ing power to reduce the costs associat-ed with data transmission

Respectfully submitted

Broward County Pharmacists Associa-tion

O C T O B e r 2 0 0 9 | 21

RESOLUTION 5

RPh Not a Degree Designationleon County Pharmacy Association

WHEREAS pharmacists with a PharmD degree very proudly and rightfully use their degree designation of PharmD with their name and

WHEREAS pharmacists with a BsP degree generally use RPh with their name and

WHEREAS the designation of RPh for Registered Pharmacist is not a degree designation and was enacted into the original Florida Pharmacy Practice Act of 1889 The current practice act defines a pharmacist as a licensed Pharmacist lPh

THEREFORE the leon County Phar-macy Association moves that the FPA promote the use of the BPharm desig-nation for the BsP degree in place of the RPh designation which no longer is ref-erenced in the Florida Pharmacy Prac-tice Act

Motion to amendMotion to amend failsResolution Adopted

Contact persons Michael A Jackson- (850) 222- 2400Jim Powers- (850) 422- 0079

Background The resolution pretty well speaks for itself however it should be noted that in most national pharmacy publications pharmacists with a BsP degree are using the BPharm designa-tion behind their names In research-ing Dr Gene Gramlingrsquos book ldquoA His-tory of Pharmacy in Floridardquo it has the Florida Pharmacy Practice Act of 1889 which reads as follows section 4 Be it further enacted that the Board of Phar-macy shall register in a suitable book the names and places of residence of all persons to whom they issue certifi-cates and dates thereof It shall be the duty of said Board of Pharmacy to reg-ister without examination as registered pharmacists all pharmacists and drug-gists who are engaged in business in

the state of Florida at the passage of this act as owners or principals of stores or pharmacies In any village town or city of more than 200 inhabitants helliprdquo

RESOLUTION 6

Long Term Care regulatory frame-workFlorida Chapter of American society of Consultant Pharmacist

Whereas the Florida regulatory frame-work for long-term care pharmacy should be reviewed periodically to en-sure that it is consistent with current practice the FPA legislative commit-tee resolves to coordinate with the Flor-ida Chapter of the American society of Consultant Pharmacists to review the current regulatory framework for long-Term Care pharmacy in Florida

Resolved that the FPA legislative Committee coordinate with the Flori-da Chapter of the American society of Consultant Pharmacists to review the current regulatory framework for long-Term Care Pharmacy in Florida

Resolve substituted by the sponsor and accepted by the House substitute Resolution Adopted

Contact name and Phone stephen J Grabowski (727) 945-0760

Problem As the number of our nationrsquos seniors has grown so to have the de-mands and challenges placed upon the pharmacists serving those seniors who live in long-term care facilities since the practice of pharmacy has evolved over the years with increased workload demands changing roles of pharmacy technicians and new technologies so too have the regulatory guidelines and oversight responsibilities of the state boards

Intent not only will the practice of pharmacy need to adapt to the needs of seniors in long-term care facilities but state board of pharmacies and phar-macists under their preview must un-

derstand the impact of these changes Pharmacists practicing in long-term care must collaborate with state boards of pharmacy to update practice acts to ensure the protection of the health safety and welfare of the public

RESOLUTION 7

Evaluation of the ldquoPedigree Docu-mentation Programrdquo as stated in Flor-ida Statue 499Alachua County Association of Phar-macists

Whereas Florida statue 499 states that its purpose is to safeguard the public health and promote the public welfare by protecting the public from injury by product use and by merchandising de-ceit involving drugs devices and cos-metics

Whereas Pharmacies Pharmacists Pharmacy Wholesalers Pharmaceuti-cal Manufacturers and Pharmacy Re-packagers are all an integral part of this program

Whereas there is financial costs associ-ated with this program

Whereas there are penalties associated with this program

RESOLVED - The FPA request the Agency for Health Care Administra-tion to evaluate the ldquoPedigree Docu-mentation Programrdquo (49901212) to de-termine effectiveness and identification of improvements in the program for the protection of the public safety

Problem - The state of Florida enact-ed the ldquoPedigree Documentation Pro-gramrdquo (49901212) to keep adulterated and misbranded pharmaceuticals from consumers

Intent - To determine the effectiveness of the ldquoPedigree Documentation Pro-gramrdquo in achieving its purpose

Resolution Adopted

22 | f L O r i d a p h a r m a C y T O d a y

sion forward Please join us in Talla-hassee next March

FPA Legislative Key Contact Network

The FPA legislative Committee would like to match up at least one pharmacist with every key legisla-tor in the state If you currently have a relationship with one of your state legislators or if you are willing to take the steps listed above to be one of our grassroots advocates we want to know sign up to be a member of our Key legislative Contacts If you can help please let us know by con-tacting any member of the legisla-tive Committee listed below or you may contact me directly at klwizcomcastnet

lastly your legislative Commit-tee deserves a BIG ldquoThank Yourdquo for their time and effort These mem-bers have stepped up to help our profession grow and prosper Fol-lowing is a list of the members of the 2009-2010 FPA legislative Commit-teeDavid AndrewsDon BergemannGary DalinMitchell FingerhutAmy FerrolRamy GabrielMark HobbsMichael JacksonHumberto MartinezMark PercifieldManny PrieguezAlexander PytlarzTeysha RichardsonWilliam RiffeeTheresa Tollenorman TomakaAmanda Waltemathlori WeemsKaren WhalenRobert WilburChristine Yocum

Ken Wisniewski2009-2010 legislative Committee Chair

Viewpoint continued from page 5Respectfully submitted

Alachua County Association of Phar-macists

RESOLUTION 8

Continuous quality Improvement Program-Program EvaluationAlachua County Association of Phar-macists

Whereas the CQI Program is a system of standards and procedures to identify and evaluate quality-related events and improve patient care

Whereas some of the main goals of FPA and the Board of Pharmacy is to improve patient care and safety

Whereas an evaluation of the CQI Pro-gram may identify improvements that could be incorporated into the pro-gram

Whereas information about patient safety practices obtained from the pro-gram evaluation would be helpful if shared with the pharmacists of Florida and the nation

Resolved that the FPA request the Flor-ida Board of Pharmacy to conduct a Program evaluation of the Continuous Quality Improvement Program (64B16-27300)

Problem- since the enactment of 64B16-27300 Continuous Quality Improve-ment (CQI) Program there has not been a program evaluation

Intent- The evaluation of the CQI Pro-gram for effectiveness

Respectfully submittedAlachua County Association of Phar-macists

Resolution Adopted

JOIN TODAY

Florida Pharmacy Association

O C T O B e r 2 0 0 9 | 23

RESOLUTION 1Pharmacy Manager in Charge Man-date rule changes for the State require to be on-site 24 hr perweekBroward County Pharmacist Associa-tion Whereas There is no statutory or rule requirement for a Manager in Charge to be present in the PharmacyWhereas over the last few years in-ternet practices and non-pharmacist owned pharmacies have flourished in practice settings that were poorly su-pervisedBe it Resolved that the FPA propose that the Florida Pharmacy Board pro-mulgate rules which safeguard the public by having a Responsible par-ty (Pharmacy Manager of Record) on premises 24 hrs per given weekContact Broward County Pharmacist AssocDaniel P sweet RPhPast President Board Member954-232-8202Intent To protect the public from non-pharmacist owners to influence the practice of pharmacy by placing a phar-macist on record without reviewing the day to day operations of Pharmacy Practice and its Rules and statuesResolution Not AdoptedRespectfully SubmittedBroward County Pharmacist Associa-tion

RESOLUTION 2

Repeal 40 hr Rule for Community Pharmacy PermitBroward County Pharmacist Associa-tion Whereas the Practice of Pharmacy is evolving to an Information Profession where pharmacists will be reviewing medication therapyWhereas in populated areas there are multiple pharmacies in a compact radi-usBe it Resolved that the Florida Board of Pharmacy act in repealing the 40 hr rule for Community Pharmacy Permit withstanding that there is a pharmacy within 5 miles with extended hours or a 24 hr pharmacy within 2 milesContact

Daniel P sweet RPhPast President Board Member Broward County Pharmacist Assoc954-232-8202 Intent With Pharmacy Practice evolv-ing with more Pharmacists are going to use there education to create office type practice The Pharmacist will need to be off-site to review medications and council patients on the use of their medicationRespectfully SubmittedBroward County Pharmacist Associa-tion Motion to amendAmendment passedSpeaker unable to determine the posi-tion of the House on voice voteStanding vote called for by the House SpeakerResolution adopted on standing vote

RESOLUTION 3

Physician Dispensing ndash Limiting Scope as Pertains to Controlled Sub-stancesBroward County Pharmacists Associa-tionWhereas a significant problem regard-ing the misuse of controlled substances in our state has been identified andWhereas the checks and balances that the pharmacist brings to the equation of reducing the potential for misuse of controlled substances due to conflicts of interest is circumvented in the phy-sician dispensing model Be it Resolved that the FPA seek legis-lative changes to limit the in-office dis-pensing of controlled substances up to and not more than a three (3) day sup-ply Contact Broward County Pharmacists Associa-tionDaniel P sweet RPhPast President Board Member954-232-8202Motion to amend the phrase ldquowork with the respective BoardsrdquoAmendment is adoptedMotion to amend by adding the words ldquouprdquo and the words ldquoand not more thanrdquo to the first sentenceMotion to amend passes

Motion to amend by striking the last sentence of the resolveMotion to amend passesResolution AdoptedIntent With the advent of Pain Man-agement Clinics with Dispensaries Pa-tient safety and control is lost by not having a Pharmacist oversee the pa-tientsrsquo therapeutic management with-in the guidelines of the FDA and Con-trolled substance Abuse Act

RESOLUTION 4

Pharmacy Service TaxBroward County Pharmacists Associa-tionWhereas Pharmacy has assumed the burden of absorbing the costs associat-ed with receiving and sending data to all sourcesWhereas these costs continue to grow and are not associated with the cost of the product or filling fee received thenBe it Resolved that the FPA work with the proper legislative process for the state to create a TAX for prescriptions to cover all communication costs inher-ent in Rx processing for e-prescribing communications to PBMrsquos and data re-porting costs for handling in-state re-porting of Controlled substancesBe it Further Resolved that the col-lected tax be used only for Pharmacy Claims Administrative Costs in han-dling the claims and bear no economic andor administrative burdens on the pharmacyResolution Not AdoptedContact Broward County Pharmacists Associa-tionDaniel P sweet RPhPast President Board Member954-232-8202Intent With greater dependency on data network and associated costs to all pharmacies we have been placed in a pinch With the state controlling the process we gain on many fronts First no back-end costs on any Rx claim next the state can legally charge PBMrsquos un-der contract and will be responsible for collecting the tax and lastly the state can use their collective bargain-ing power to reduce the costs associat-

EmailFax Network HotlineReceive up-to-date and up-to-the-min-ute information on legislative Develop-ments Board of Pharmacy changes and other topics affecting the profession of pharmacy Call FPA Member services at (850) 222-2400 ext 110 ndash rsimmonspharmviewcom

Tax ResourceProvides defense and protection of your assets when you are audited Tax Resource will defend their clients for any income tax audit Federal or state for any tax year Tax Resource pio-neered the tax audit service business and is the largest audit defense firm in the United states Call (800) 92-AUDIT (800-922-8348)

Atlantic Coupon Redemption Center Receive payment in 25 working days of couponrsquos face value plus a rebate of 16 cents based on store volume Call Meredith McCord (800) 223-0398

Florida Commerce Federal Credit Union The chief objective of a credit union is not generating profits for stockholders but to provide service to its member The members benefit by getting attrac-tive returns on savings loans made at fair rates of interest plus enhanced and expanded services This is probably one of the best deals around Call (850) 488-0035

Collection Services For past due accounts call I C system Inc Call (800) 328-9595

Other Member Benefits n Discounted Continuing education

Programsn Monthly Issues of the Florida Phar-

macy Today Journal

ITC Deltacom offering FPA members exclusive associa-tion discounts on telecommunication ser-vices including local services long dis-tance data networks telephone systems and dedicated internet access Call 850-701-3200 or visit wwwitcdeltacomcom

Pharmacy Resource Materials FPA provides the most recent and rele-vant resources necessary to meet your professional needs This includes the Continuous Quality Improvement Manu-al Controlled substance Inventory Book-lets and Pharmacy signs Please call FPA Members services for more information 850-222-2400 ext 110

FPA Website Visit our FPA Website at wwpharmviewcom The site launched in December 2004 and revised in october 2008 includes a members only section The website of-fers a secure server so that you can reg-isters for Ce programs renew your mem-bership or purchase resources materials with your credit card

in keeping with a tradition of offering our members real benefits the Florida Pharmacy association (FPa) is proud to announce the introduction of sponsored discount Benefits Program these vendors are dedicated to providing an excellent value to all FPa members and associates to take advantage of benefits contact the vendors directly at the numbers listed below and identify yourself as a FPa member and have your membership id number handy

MEMBERSHIP MATTERS

Florida Pharmacy Association

24 | f L O r i d a p h a r m a C y T O d a y

Wyeth Bowl of Hygeia

Awarded to a pharmacist for out-standing community service above and beyond professional duties The use of the following selection criteria is re-quired

The recipient must be a Florida li- n

censed pharmacist and a member of FPAThe recipient must be living Awards n

are not presented posthumouslyThe recipient has not previously re- n

ceived the awardThe recipient is not currently serving n

nor has heshe served within the immediate past 2 years on its award committee or an officer of the asso-ciation in other than an ex officio ca-pacityThe recipient has compiled an out- n

standing record of community ser-vice which apart from hisher spe-cific identification as a pharmacist reflects well on the profession

James H Beal Award

Awarded to the Pharmacist of the Year The criteria established for this award is that the recipient be a Flori-da registered pharmacist and a mem-ber of FPA who has rendered outstand-ing service to pharmacy within the past five yearsCriteria

The recipient must be a Florida reg- n

istered pharmacist and a member of the FPAThe recipient has rendered outstand- n

ing service to pharmacy within the past five years

Technician of the Year AwardAwarded annually to a Florida

pharmacy technician who is recog-nized for hisher outstanding perfor-mance and achievement during hisher career

Criteria

Candidate must be a member of n

the Florida Pharmacy Association for at least 2 yearsCandidate must have demonstrat- n

ed contributions and dedication to the advancement of pharmacy technician practiceCandidate must have demonstrat- n

ed contributions to the Florida Pharmacy Association andor oth-er pharmacy organizationsCandidate must have demonstrat- n

ed commitment to community ser-viceCandidate is not a past recipient of n

this award

RQ Richards Award

This award is based on outstanding achievement in the field of pharmaceu-tical public relations in FloridaCriteria

The recipient must be a Florida reg- n

istered pharmacist and a member of the FPAThe recipient has displayed out- n

standing achievement in the field of pharmaceutical public relations in Florida

Frank TobackAZO Consultant

Pharmacist Award

CriteriaCandidate must be an FPA member n

registered with the Florida Board of Pharmacy as a consultant pharma-cist in good standingCandidate should be selected based n

on their outstanding achievements in the field of consultant pharmacy

DCPA Sidney Simkowitz

Pharmacy Involvement Award

Presented annually to a Florida pharmacist who has been active at the local and state pharmacy association level in advancement of the profes-sion of pharmacy in Florida

CriteriaA minimum of five years of active n

involvement in and contributions to the local association and FPACandidate must have held office at n

local level pharmacy associationMember in good standing for a pe- n

riod of at least five years in the FPA and must have served as a member or chairman of a committee of the associationCandidate must have been active- n

ly involved in a project that has or could potentially be of benefit to members of the profession

Pharmacists Mutual Companies

Distinguished Young Pharmacist

Award

Awarded to a young pharmacist for their involvement and dedication to the practice of pharmacyCriteria

licensed to practice for nine (9) years n

or lesslicensed to practice in the state in n

which selectedParticipation in national pharmacy n

association professional programs andor community service

IPA Roman Maximo Corrons

Inspiration amp Motivation Award

Interamerican Pharmacists Association created this award to honor the memo-ry of Roman M Corrons who inspired and motivated countless pharmacists to participate actively and aspire to take on leadership roles in their profession Roman was always there with guidance and support that motivated pharma-cists and encouraged visionary leader-ship approachable active membership and succession planning This award recognizes the motivators among us who inspire others to continue to ad-vance the professionCriteria

C a L L f O r N O m i N a T i O N s F P A A W A R D S 2 0 0 9 - 2 0 1 0

O C T O B e r 2 0 0 9 | 25

DEADLINE FOR NOMINATIONS FEBRUARY 28 2010

The recipient must be a Florida li- n

censed Pharmacist and a member of the FPACandidate should motivate others n

to excel within the profession by en-couraging them to be leadersCandidate is not necessarily an as- n

sociation officer but guides sup-ports andor inspires others

A brief description on the candidatersquos motivationalinspirational skills must accompany the nomination

The Jean Lamberti

Mentorship Award

The Jean lamberti Mentorship Award was established in 1998 to hon-or those pharmacists who have taken time to share their knowledge and ex-

perience with pharmacist candidates The award is named in honor of long time FPA member Jean lamberti for her effort in working with pharmacy studentsCriteria

The recipient must be an FPA mem- n

berThe recipient must serve as a role n

model for the profession of pharmacy

Innovative Pharmacy Practice

Award

Awarded to honor practicing phar-macists who have demonstrated inno-vation in pharmacy practice that has resulted in improved patient careCriteria

The recipient has demonstrated inno- n

vative pharmacy practice resulting in improved patient careThe recipient should be a practic- n

ing pharmacist within the geograph-ic area represented by the presenting Association

Qualified nominee A pharmacist prac-ticing within the geographic area repre-sented by the presenting Association

I AM PLEASED TO SUBMIT THE FOLLOWING NOMINATION

Name

Address

FOR THE FOLLOWING AWARD

(Nomination Deadline February 28 2009)

Wyeth Bowl of Hygeia Award

James H Beal Award

RQ Richards Award

Frank TobackAZO Consultant Pharmacist Award

DCPA Sydney Simkowitz Award

Pharmacists Mutual Co Distinguished Young Pharmacist Award

Academy of Pharmacy Practice Practitioner Merit Award

The Jean Lamberti Mentorship Award

IPA Roman Maximo Corrons Inspiration amp Motivation Award

Innovative Pharmacy Practice Award

Technician of the Year Award

NOMINATED BY

Name

Date Submitted

Signature

Please describe briefly below the nominees accomplishments indicating why you feel he or she should receive this award (Attach additional sheets if necessary)

C a L L f O r N O m i N a T i O N s F P A A W A R D S 2 0 0 9 - 2 0 1 0

F P A A W A R D S N O M I N A T I O N F O R M

mail nominatons to annual awards Florida Pharmacy association 610 n adams st tallahassee Fl 32301(850) 222-2400 FaX (850) 561-6758 dEadlinE For nominations is FEBrUary 28 2010

26 | f L O r i d a p h a r m a C y T O d a y

CALL FOR RESOLUTIONS TO THE 2010 HOUSE OF DELEGATES

The House of Delegates Board of Directors will meet in March 2010 to review and approve resolu-tions for the Annual Meeting The deadline for submitting resolutions is March 15 2010 PleAse noTe THIs DeADlIne

The following information will be needed when submitting resolutions

1 name of organization The name of the organization submitting the resolutions(s)2 name and telephone number of individuals A contact in the event clarification or further in-

formation is needed 3 Problem A statement of the problem addressed by the resolution4 Intent A statement of what passage of the resolution will accomplish5 Resolution Format (please type and use double spacing)

TiTle of ResoluTion

name of oRganizaTion

WheReas and

WheReas

TheRefoRe be iT

Resolved (ThaT The fPa oR subdivision of fPa)

ConTaCT name and Phone

PRoblem

inTenT

Page 11: October 2009 Florida Pharmacy Journal

O C T O B e r 2 0 0 9 | 11

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The hiring of a lawyer is an important decision that should not be based solely upon advertisements Before you decide ask us to send you free written information about our qualifications and experience

consider and communicate their objectives which may in-clude one or more of the following (a) reducing transmis-sion among staff (b) protecting people who are at increased risk of influenza related complications from getting infected with influenza (c) maintaining business operations and (d) minimizing adverse effects on other entities in their supply chains

employers should expect to see a wide range of disease patterns across the country employers should base their strategies and response to influenza outbreaks on local infor-mation from local and state public health authorities some of the key indicators that should be used when making deci-sions on appropriate responses are

Disease severity (ie hospitalization and death rates) in n

the community where business is locatedextent of disease (number of people who are sick) in the n

communityAmount of worker absenteeism in your business or orga- n

nizationImpact of disease on workforce populations that are vul- n

nerable and at higher risk (eg pregnant women employ-ees with certain chronic medical conditions that put them at increased risk for complications of influenza) andother factors that may affect employeesrsquo ability to get to n

work such as school dismissals or closures due to high levels of illness in children or school dismissalsemployers need to plan now to be able to obtain updated

information on these indicators from state and local health departments in each community where they have a business presence and to respond quickly to the changing reality on the ground employers with more than one business location are encouraged to provide local managers with the authori-ty to take appropriate actions outlined in their business pan-demic plan based on the condition in each locality

Preparedness and Response Recommendations

PLANNING FOR 2009 H1N1 AND THE 2009ndash2010 INFLUENzA SEASON

This guidance is designed to help employers plan for and respond to two possible conditions 1) a continuation of the current level of severity of influenza as was observed during the spring and summer of 2009 and 2) a more severe outbreak The first situation is what is being experienced in some com-munities nowmdashan outbreak of similar severity of 2009 H1n1 to the spring However even if the severity of the virus does not change planners should expect that there will be more people who are ill in the fall and winter as 2009 H1n1 out-breaks coincide with the seasonal influenza season and this level of absenteeism may impact business operations A sec-ond situation involves an outbreak of greater severity includ-ing more people with severe illness and thus more people hospitalized for influenza complications more deaths from influenza and a probable escalation of absenteeism

12 | f L O r i d a p h a r m a C y T O d a y

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Businesses should have an understanding of their normal seasonal absenteeism rates and know how to monitor their personnel for any unusual increases in absenteeism through the fall and winter Business continuity planners should as-sess their essential business functions now to determine at what threshold of absenteeism those functions would be threatened if absenteeism escalates Planners can then pre-pare to take more aggressive measures to protect continuity as absenteeism escalates towards those thresholds

even employers in communities that have not yet felt ef-fects from 2009 H1n1 influenza should plan for an influen-za outbreak this fall and winter and be ready to implement strategies to protect their workforce while ensuring continuity of operations During an influenza pandemic all sick people should stay home and away from the workplace hand wash-ing and covering coughs and sneezes should be encouraged and routine cleaning of commonly touched surfaces should be performed regularly If the severity of illness increases employers should be ready to implement additional measures while continuing to rigorously implement the interventions recommended for an outbreak similar to the springsummer 2009 H1n1 outbreak If severity increases public health offi-cials may recommend a variety of methods for increasing the physical distance between people (called social distancing) to reduce the spread of disease such as school dismissal child care program closure canceling large community gatherings canceling large business-related meetings spacing workers farther apart in the workplace canceling non-essential travel

and recommending work-from-home strategies for workers that can conduct their business remotely

Please remember employers should develop capabilities to respond to both scenarios and these two conditions serve only as a planning framework Businesses and other employ-ers should develop flexible capabilities to respond to either situation given the difficulties in accurately predicting the ex-tent and severity of 2009 H1n1 as it unfolds during the 2009ndash2010 influenza season Individual businesses may implement additional actions if they experience high absenteeism or business continuity is compromised In addition employers should be aware that other emergencies such as hurricanes or other natural disasters may happen during the fall and win-ter creating additional challenging problems for businesses and communities

WORk WITH STATE AND LOCAL PUBLIC HEALTH PARTNERS

Coordination with state and local health officials is strong-ly encouraged for all businesses so that timely and accurate information can guide appropriate responses in each location where their operations reside since the intensity of an out-break may differ according to geographic location local pub-lic health officials will be issuing guidance specific to their communities Also businesses could work with public health and community leaders to explore ways of improving accessi-bility of vaccination for the workforce and in the community

kEEP SICk WORkERS HOME

one of the best way to reduce the spread of influenza is to keep sick people away from well people However in the fall and winter it will not be possible to quickly determine if workers who are ill have 2009 H1n1 seasonal influenza or any number of other different conditions based on symptoms alone local and state health department surveillance infor-mation can be helpful to know when influenza is circulating in the community although the availability timeliness and amount of local information on when influenza is circulating may vary substantially from community to community

Workers who have symptoms of influenza-like illness3 are recommended to stay home and not come to work until at least 24 hours after their fever has resolved4 Regardless of the size of the business or the function or services that you pro-vide all employers should plan now to allow and encourage sick workers to stay home without fear of losing their jobs CDC recommends this strategy for all levels of severity em-ployers should plan now for how they will operate if there is significant absenteeism from sick workers However employ-ers should know that some persons with influenza including those ill with 2009 H1n1 do not have fever Therefore it will not be possible to exclude everyone who is ill with influenza from the workplace

BE PREPARED IF SCHOOLS DISMISS STUDENTS OR CHILD CARE PROGRAMS CLOSE

In some communities schools may dismiss students and childcare programs may close particularly if the severity in-

O C T O B e r 2 0 0 9 | 13

creases5 officials will make these decisions to protect pub-lic health but they will affect your businessrsquos functioning es-pecially affecting absenteeism Plan now to determine how you will operate if absenteeism spikes from increases in sick workers those who stay home to care for ill family members and those who must stay home to watch their children if dis-missed from school Businesses and other employers should prepare to institute flexible workplace and leave policies for these workers

Actions Employers Should Take NowReview or establish a flexible influenza pandemic plan n

and involve your employees in developing and reviewing your planConduct a focused discussion or exercise using your plan n

to find out ahead of time whether the plan has gaps or problems that need to be corrected before flu seasonHave an understanding of your organizationrsquos normal n

seasonal absenteeism rates and know how to monitor your personnel for any unusual increases in absenteeism through the fall and winterengage state and local health department to confirm n

channels of communication and methods for dissemina-tion of local outbreak informationAllow sick workers to stay home without fear of losing n

their jobsDevelop other flexible leave policies to allow workers to n

stay home to care for sick family members or for children if schools dismiss students or child care programs closeshare your influenza pandemic plan with employees and n

explain what human resources policies workplace and leave flexibilities and pay and benefits will be available to themshare best practices with other businesses in your com- n

munities (especially those in your supply chain) cham-bers of commerce and associations to improve communi-ty response efforts andAdd a ldquowidgetrdquo or ldquobuttonrdquo to your company Web page n

or employee Web sites so employees can access the lat-est information on influenza wwwcdcgovwidgets and wwwcdcgovsocialMediaCampaignsH1n1buttonshtml

Important Components of an Influenza Pandemic Plan

Be prepared to implement multiple measures to protect n

workers and ensure business continuity A layered ap-proach will likely work better than using just one mea-sureIdentify possible work-related exposure and health risks n

to your employees The occupational safety and Health Administration (osHA) has developed tools to determine if your employees are at risk of work-related exposures and if so how to respond (see wwwoshagovdsgtopics

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14 | f L O r i d a p h a r m a C y T O d a y

City of Tallahassee Declares October as American Pharmacists Month

Tallahassee Mayor John Marks has declared october as American Pharmacist Month In a procla-mation signed on october 1 2009 Mayor Marks urged all citizens to acknowledge the valuable servic-es of pharmacists to provide safe affordable and beneficial pharma-ceutical care services and prod-ucts to all citizens

The Florida Pharmacy Associa-tion wish to thank our FAMU in-tern Carina Davison for her work with the City of Tallahassee dur-ing her rotation here at the FPA of-fice

FROM THE GOVERNING BODY OFTHE CITY OF TALLAHASSEE

PROCLAMATIONWhereas pharmacy is one of the oldest of the health professions con-cerned with the health and well-being of all people andWhereas today there are over 254000 pharmacists practicing in the United States and over 400 pharmacists licensed in the city of Tallahassee providing services to assure the rational and safe use of all medications andWhereas the use of medication as a cost-effective alternative to more expensive medical procedures is becoming a major force in moderating overall health care costs andWhereas todays powerful medications require greater attention to the manner in which they are used by different patient population groups -both clinically and demographically andWhereas it is important that all users of prescription and nonprescrip-tion medications or their caregivers be knowledgeable about and share responsibility for their own drug therapy andWhereas the American Pharmacists Association and the Florida Phar-macy Association have declared October as American Pharmacists Month with the theme Know Your Medicines - Know Your Pharmacist

Now therefore be it resolved that I John Marks do hereby proclaim October as

American Pharmacists Month

in the city of Tallahassee and urge all our citizens to acknowledge the valuable services of pharmacists to provide safe affordable and beneficial pharmaceutical care services and products to all citizens

O C T O B e r 2 0 0 9 | 15

pandemicfluindexhtml)Review human resources policies to make sure that poli- n

cies and practices are consistent with public health rec-ommendations and are consistent with existing state and federal workplace laws (for more information on employ-er responsibilities employers should visit the Department of laborrsquos and the equal employment opportunity Com-missionrsquos websites at wwwdolgov and wwweeocgov)Allow employees to stay home if they are ill have to care n

for ill family members or must watch their children if schools or childcare facilities closeexplore whether you can establish policies and practices n

such as flexible worksites (eg telecommuting) and flex-ible work hours (eg staggered shifts) when possible to increased the physical distance among employees and be-tween employees and others if local public health author-ities recommend the use of social distancing strategies ensure that you have the information technology and in-frastructure needed to support multiple workers who may be able to work from homeIdentify essential business functions essential jobs or n

roles and critical elements within your supply chains (eg raw materials suppliers subcontractor servicesproducts and logistics) required to maintain business op-erations Plan for how your business will operate if there is increasing absenteeism or these supply chains are inter-ruptedset up authorities triggers and procedures for activat- n

ing and terminating the companyrsquos response plan alter-ing business operations (eg possibly changing or closing operations in affected areas) and transferring business knowledge to key employees Work closely with your lo-cal health officials to identify these triggersPlan to minimize exposure to fellow employees or the n

public if public health officials call for social distancingestablish a process to communicate information to work- n

ers and business partners on your 2009 H1n1 influenza response plans and latest 2009 H1n1 influenza informa-tion Anticipate employee fear anxiety rumors and mis-information and plan communications accordingly

over the past several years HHs CDC DHs osHA eeoC and other federal partners have developed guidelines including checklists to assist businesses industries and oth-er employers in planning for a pandemic outbreak Review these resources to assist in your planning efforts wwwflugovplanworkplaceplanningindexhtml

The recommendations that follow provide guidance on how employers can develop strategies and respond to two levels of severity local conditions will influence the deci-sions that public health officials make regarding community-level strategies employers should take the time now to learn about plans in place in each community where they have a presence

Recommended Employer Responses for the 2009-2010 Flu SeasonRecommended Action Steps under Current Flu Conditions (similar severity as in SpringSummer 2009)

If the severity of illness in the fall and winter is similar to that observed in the spring and summer of 2009 the effects of 2009 H1n1 influenza may not have substantial impacts on absenteeism though some increase in absenteeism over the spring season is anticipated When larger numbers of people become ill correspondingly larger numbers of people will be-come seriously ill and may require hospitalization

SICK PERSONS SHOuLD STAY HOMEAdvise workers to be alert to any signs of fever and any n

other signs of influenza-like illness6 before reporting to work each day and notify their supervisor and stay home if they are ill employees who are ill should not travel while they are illCDC recommends that employees with influenza-like ill- n

ness remain at home until at least 24 hours after they are free of fever (100deg F [378deg C] or greater) or signs of a fever without the use of fever-reducing medicationsexpect sick employees to be out for about 3 to 5 days in n

most cases even if antiviral medications are usedensure that your sick leave policies are flexible and con- n

sistent with public health guidance and that employees are well aware of these policiesTalk with companies that provide your company with n

contract or temporary workers about the importance of sick workers staying home and encourage them to devel-op non-punitive leave policiesDo not require a doctorrsquos note for workers who are ill with n

influenza-like illness to validate their illness or to return to work as doctorrsquos offices and medical facilities may be extremely busy and may not be able to provide such doc-umentation in a timely way employees who are well but who have an ill family mem- n

ber at home with influenza can go to work as usual How-ever these employees should monitor their health every day and notify their supervisor and stay home if they be-come ill employers should maintain flexible policies that permit employees to stay home to care for an ill family member employers should be aware that more workers may need to stay at home to care for ill children or other ill family members than is usual

SICK EMPLOYEES AT WORK SHOuLD BE ASKED TO gO HOME

CDC recommends that workers who appear to have an n

influenza-like illness upon arrival or become ill during the day be promptly separated from other workers and be advised to go home until at least 24 hours after they are free of fever (100deg F [378deg C] or greater) or signs of a fever without the use of fever-reducing medications Those who become ill with symptoms of an influenza-like n

illness during the work day should be

16 | f L O r i d a p h a r m a C y T O d a y

o separated from other workers and asked to go home promptly (For recommendations on personal protec-tive equipment for a person assisting the ill employee see Interim Recommendations for Facemask and Res-pirator Use to Reduce novel Influenza A (H1n1) Vi-rus Transmission httpwwwcdcgovh1n1flumaskshtm)

o When possible and if they can tolerate it workers with influenza-like illness should be given a surgical mask to wear before they go home if they cannot be placed in an area away from others

If an employee becomes ill at work inform fellow employ- n

ees of their possible exposure in the workplace to influen-za-like illness but maintain confidentiality as required by the Americans with Disabilities Act (ADA) For more in-formation on privacy issues please refer to httpwwwflugovfaqworkplace_questionsequal_employmentin-dexhtmlPrivacyIssues employees exposed to a sick co-worker should monitor themselves for symptoms of influ-enza-like illness and stay home if they are sick

COVER COugHS AND SNEEzESInfluenza viruses are thought to spread mainly from per- n

son to person in respiratory droplets of coughs and sneez-es Provide employee messages on the importance of cov-ering coughs and sneezes with a tissue or in the absence of a tissue onersquos sleeve Place posters in the worksite that encourages cough and sneeze etiquetteProvide tissues and no-touch disposal receptacles for use n

by employees

IMPROVE HAND HYgIENEInfluenza may be spread via contaminated hands In- n

struct employees to wash their hands often with soap and water or use an alcohol-based hand cleaner especially af-ter coughing or sneezing Place posters in the worksite that encourage hand hygieneProvide soap and water and alcohol-based hand sanitiz- n

ers in the workplace ensure that adequate supplies are maintained If feasible place hand sanitizers in multiple locations or in conference rooms to encourage hand hy-giene

CLEAN SuRFACES AND ITEMS THAT ARE MORE LIKELY TO HAVE FREquENT HAND CONTACT

Frequently clean all commonly touched surfaces in the n

workplace such as workstations countertops and door-knobs Use the cleaning agents that are usually used in these areas and follow the directions on the labelno additional disinfection beyond routine cleaning is rec- n

ommendedENCOuRAgE EMPLOYEES TO gET VACCINATED

encourage your employees to get vaccinated for seasonal n

influenza For information on groups prioritized for sea-sonal influenza vaccines please see httpwwwcdcgovfluprotectkeyfactshtm encourage your employees also to get vaccinated for 2009 n

H1n1 influenza when vaccines are available to them Dif-ferent groups are prioritized for 2009 H1n1 influenza than for seasonal influenza For information on groups prioritized for H1n1 influenza vaccine please see httpwwwcdcgovh1n1fluvaccinationaciphtm offer opportunities at your worksite for influenza vacci- n

nation Consider granting employees time off from work to get vaccinated if not offered at the worksiteReview the health benefits you offer employees and work n

with insurers to explore if they can cover the costs of in-fluenza vaccination

TAKE MEASuRES TO PROTECT EMPLOYEES WHO ARE AT HIgHER RISK FOR COMPLICATIONS OF INFLuENzA

People at higher risk for complications from influenza in- n

clude pregnant women children under 5 years of age adults and children who have chronic lung disease (such as asthma) heart disease diabetes diseases that suppress the immune system and other chronic medical conditions and those who are 65 years or older7 Inform employees that some people are at higher risk of n

complications from influenza and that if they are at high-er risk for complications they should check with their health care provider if they become ill early treatment with antiviral medications is very important for people at high risk because it can prevent hospitalizations and deathsencourage employees recommended for seasonal influ- n

enza vaccine and 2009 H1n1 vaccines to get vaccinated as soon as these vaccines are available For information on groups prioritized for seasonal and H1n1 vaccines please see httpwwwcdcgovfluprotectkeyfactshtm and httpwwwcdcgovh1n1fluvaccinationaciphtmemployees who become ill and are at increased risk of n

complications from influenza and ill employees who are concerned about their illness should call their health care provider for advice Their health care provider might want them to take antiviral medications to reduce the likelihood of severe complications from the influenzasee n httpwwwcdcgovh1n1fluqahtm for more infor-mation

PREPARE FOR INCREASED NuMBERS OF EMPLOYEE ABSENCES DuE TO ILLNESS IN EMPLOYEES AND THEIR FAMILY MEMBERS AND PLAN WAYS FOR ESSENTIAL BuSINESS FuNCTIONS TO CONTINuE

employers should plan to monitor and respond to ab- n

senteeism at the workplace Implement plans to contin-ue your essential functions in case you experience high-er than usual absenteeism elevated absentee rates can be due to sick workers those who need to stay home and care for others or from workers with conditions that make them at higher risk for complications from influen-za and who may be worried about coming to work Cross-train personnel to perform essential functions so n

that the workplace is able to operate even if key staff are absent

O C T O B e r 2 0 0 9 | 17

Assess your essential functions and the reliance that oth- n

ers and the community have on your services or products Be prepared to change your business practices if need-ed to maintain critical operations (eg identify alternative suppliers prioritize customers or temporarily suspend some of your operations if needed)

ADVISE EMPLOYEES BEFORE TRAVELINg TO TAKE CERTAIN STEPS

Advise workers to check themselves for fever and any n

other signs of influenza-like illness before starting travel and notify their supervisor and stay home if they are illAdvise employees who will be traveling or on temporary n

assignment about precautions they may need to take to protect their health and who to call if they become illemployees who become ill while traveling and are at in- n

creased risk of complications from influenza and oth-ers concerned about their illness should promptly call a health care provider for adviceensure employees who become ill while traveling or on n

temporary assignment understand that they should noti-fy their supervisor If outside the United states ill employees should fol- n

low your companyrsquos policy for obtaining medical care or contact a health care provider or overseas medical assis-tance company to assist them with finding an appropriate health care provider in that country if needed A Us con-sular officer can help locate health care services However Us embassies consulates and military facilities do not have the legal authority capability and resources to evac-uate or give medications vaccines or medical care to pri-vate Us citizens overseassee CDCrsquos Travel Website ( n httpwwwncdcgovtrav-elcontentnovel-h1n1-fluaspx) for more information for travelers

PREPARE FOR THE POSSIBILITY OF SCHOOL DISMISSAL OR TEMPORARY CLOSuRE OF CHILD CARE PROgRAMS

Although school dismissals or closures of child care pro- n

grams are not likely to be generally recommended at this level of severity they are possible in some jurisdictions Be prepared to allow workers to stay home to care for n

children if schools are dismissed or child care programs are closed strongly recommend that parents not bring their children n

with them to work while schools are dismissedensure that your leave policies are flexible and non-puni- n

tive Cross-train employees to cover essential functions n

Read CDCrsquos Guidance for state and local Public Health n

officials and school Administrators for school (K-12) Re-sponses which can be found at httpwwwcdcgovh1n-1fluschoolsschoolguidancehtm to better understand the conditions under which schools may be dismissed

Under Conditions with Increased Severity Compared to SpringSummer 2009

If 2009 H1n1 becomes more severe than during springsummer 2009 absenteeism will likely be far greater and ad-ditional protective measures to slow the spread of influenza may be considered Check with your local health department for the extent and severity of disease activity in your commu-nity and for recommendations for necessary measures Deci-sions about what tools should be used during a severe 2009 H1n1 outbreak should be based on the observed severity of the event its impact on specific subpopulations the need to protect workers the expected benefit of the interventions the feasibility of success of implementing these measures the di-rect and indirect costs of different interventions and the ef-fects on critical infrastructure health care delivery and soci-ety The following are measures that should be considered if influenza severity increases and are meant for use in addition to the measures outlined above

CONSIDER ACTIVE SCREENINg OF EMPLOYEES WHO REPORT TO WORK

If influenza severity increases at the beginning of the n

workday or with each new shift all employees should be asked about symptoms consistent with an influenza ill-ness8 such as fever or chills AnD cough or sore throat If the severity or the impact of influenza increases CDC rec-ommends that persons with an influenza-like illness not come to work or travel and remain at home for at least 7 days even if symptoms resolve sooner Individuals who are still sick 7 days after they become ill should continue to stay home until at least 24 hours after symptoms have resolved If influenza severity increases CDC recom-mends that people stay home at least 7 days whether or not antiviral medications are usedMake sure your sick leave policies are flexible and consis- n

tent with public health guidance and that your employ-ees are aware of these policies Do not require a doctorrsquos note for workers who are ill with n

influenzaContinue to advise workers to check for any signs of ill- n

ness before reporting to work each dayMake contingency plans for increased absenteeism n

caused by illness in workers or illness in workersrsquo family members that would require them to stay home Planning for absenteeism could include cross-training current em-ployees or hiring temporary workers

CONSIDER ALTERNATIVE WORK ENVIRONMENTS FOR EMPLOYEES AT HIgHER RISK FOR COMPLICATIONS OF INFLuENzA DuRINg PERIODS OF INCREASED INFLuENzA ACTIVITY IN THE COMMuNITY

employees with an underlying chronic medical condition n

or who are pregnant should consider calling their health care provider for advice about how to reduce their risk of exposure to influenza and if they get sick how best to get early treatment for influenzaIf influenza severity increases and if influenza transmis- n

sion is high in the community employers may want to evaluate their work environment to see how they can re-

18 | f L O r i d a p h a r m a C y T O d a y

duce the number of people that high-risk employees come in contact with such as exploring options for telecom-muting from home (if feasible) employers can also think about how workers at higher risk for influenza compli-cations could be reassigned to duties that have minimal contact with other employees clients or customers If these workers cannot be reassigned duties to reduce con-tact with others are concerned about their ability to avoid influenza at the workplace or will be in crowded condi-tions at work or while commuting to work then consider allowing employees at higher risk for influenza complica-tions to stay home from workCDC recommends that ill workers at higher risk of com- n

plications from influenza seek early treatment if they be-come illsee n httpwwwcdcgovh1n1fluqahtm for more infor-mation

CONSIDER INCREASINg SOCIAL DISTANCINg IN THE WORKPLACE

If influenza severity increases local public health offi- n

cials may recommend that employers implement mea-sures to increase the physical distance between people in the workplace to reduce the spread of influenza The goal should be for there to be at least 6 feet of distance between people at most times This is not a simple or easy strategy and would typically require considerable flexibility These measures may include avoiding crowded work settings canceling business-related face-to-face meetings spacing workers farther apart canceling non-essential travel in-creasing use of teleworking and using staggered shifts to allow fewer workers to be in the workplace at the same time9

If appropriate for your type of business and feasible re- n

view or develop policies for teleworking including an as-sessment of the capabilities and gaps of your current com-puter systems and availability of technical support Take remedial steps if needed and test your system in advance to assure it can handle an increase in remote usersRecommendations to increase social distancing may af- n

fect community functioning Because supply chain issues may be affected make sure you have plans for back-up suppliers

CONSIDER CANCELINg NON-ESSENTIAL BuSINESS TRAVEL AND ADVISINg EMPLOYEES ABOuT POSSIBLE DISRuPTIONS WHILE TRAVELINg OVERSEAS

If the severity of the outbreak worldwide increases in the n

fall or winter public health officials may recommend so-cial distancing strategies which include canceling non-es-sential travel and travel restrictions may be enacted by some countries which may limit the ability of employees to return home if they become ill while on travel statusIf influenza severity increases travelers should also be n

prepared for travel delays health screenings and other activities targeted towards travelers Provide information to travelers about contingency plans and how their travel

can be rebooked for these possible delays

PREPARE FOR SCHOOL DISMISSAL OR CLOSuRE OF CHILD CARE PROgRAMS

school dismissals and closure of child care programs are n

more likely at higher levels of severity Be prepared to allow workers to stay home to care for their children if schools are dismissed or child care programs are closed If dismissal is needed schools are being advised to dis-miss students for at least 5 to 7 calendar days or longer if necessary encourage employees who perform essential functions n

and who have children to plan for contingencies should local child care programs close or schools dismiss stu-dents Be prepared for prolonged absenteeism if schools dismiss n

students for an extended time Make sure your leave poli-cies are flexible and non-punitive employers should strongly recommend that parents not n

bring their children with them to work while schools are dismissedImplement flexible workplace policies like teleworking n

and staggered shifts Cross-train employees to cover essential functions n

Read CDCrsquos school guidance which can be found at n

httpwwwcdcgovh1n1fluschoolsschoolguidancehtm to better understand the conditions under which schools may be dismissed

OTHER CONSIDERATIONSAs part of their comprehensive pandemic planning n

some public and private sector employers have stock-piled or otherwise arranged for influenza antiviral drugs to be available for their employees during a pandemic To guide these efforts HHs released guidance to busi-nesses in 2008 entitled Considerations for Antiviral Drug Stockpiling by Employers in Preparation for an Influenza Pan-demic (httpwwwflugovvaccineantiviral_employershtml) see updated interim guidance on the use of antivi-ral agents for treatment and prophylaxis of 2009 H1n1 in-fluenza infection at httpwwwcdcgovh1n1flurecom-mendationshtmemployers should be aware that the severity of 2009 n

H1n1 influenza could change rapidly therefore local public health recommendations to communities and busi-nesses could be revised quickly Planners should identi-fy sources of timely and accurate information so they are aware of changes to recommendations and can promptly implement revised or additional measures recommended by local public health officials

O C T O B e r 2 0 0 9 | 19

The Florida Pharmacy Association 2009 ResolutionsPresented to the House of Delegates

It is an honor to serve as your 2009-2010 FPA speaker of the House of Delegates I have the privilege of follow-ing in the footsteps of some of FPArsquos most effective and prominent leaders and speakers including most recently suzanne Kelly

The House meeting held during the 2009 FPA An-nual Meeting in st Augustine was a lively and exciting meeting for our association If you missed the meeting or unaware of how the FPA House of Delegates serves itrsquos membership I strongly encourage you to contact myself directly or any of the FPA House of Delegates Board of Di-rectors Any one of us will be happy to get you involved and excited about this group and share with you how ev-ery resolution directly impacts the direction of the associ-ation and you its member

The FPA Board of Directors of the House of Delegates is made up of the following faithful memberssuzanne Kelly ndash Chair of the House of Delegates Board

of DirectorsAlexander Pytlarz ndash speaker of the House of DelegatesWilliam Riffee ndash Vice-speakershannon Zandy ndash DirectorCaridad Ferree ndash DirectorJosh Fields ndash Director Karen Whalen ndash FPA PresidentHumberto Martinez ndash FPA President-electMichael A Mone ndash ParliamentarianMichael A Jackson ndash FPA executive Vice President amp

Ceoon behalf of the House Board of Directors Irsquod like to

welcome the newest members of the House Board of Di-

rectors Dean William Riffee Vice-speaker and Caridad Ferree Director were elected at this years FPA Annual Meeting We look forward to their involvement

The House also had the privilege of introducing two new invited organizations to the House They are nige-rian Pharmacists Association and Florida Independent Pharmacy network

If any member represents an organization that wants to be involved in the House of Delegates please contact me directly I will be happy to work with you and your or-ganization so you are represented within the House and have your voice heard by all FPA members

At this past yearrsquos meeting the House reviewed eight submitted resolutions Below is a summary of the actions of the each resolution that the House took and to what committee the adopted resolutions were referred to by your President Karen Whalen Please review these reso-lutions as they will impact the policies and direction of our association If you have any comments or questions please feel free to contact me or any member of the House Board As always itrsquos never too early to start thinking about possible resolutions for next years House

Thank you for the opportunity to serve you and the Florida Pharmacy Association

Best regards

Alexander Pytlarz2009-2010 speaker of the House of Delegates

RESOLUTION 1

Pharmacy Manager in Charge Man-date rule changes for the State require to be on-site 24 hr perweekBroward County Pharmacist Associa-tion

Whereas There is no statutory or rule requirement for a Manager in Charge to be present in the Pharmacy

Whereas over the last few years in-ternet practices and non-pharmacist owned pharmacies have flourished in practice settings that were poorly su-pervised

Be it Resolved that the FPA propose that the Florida Pharmacy Board pro-mulgate rules which safeguard the public by having a Responsible par-ty (Pharmacy Manager of Record) on

premises 24 hrs per given week

Contact Broward County Pharmacist AssocDaniel P sweet RPhPast President Board Member954-232-8202

Intent To protect the public from non-pharmacist owners to influence the practice of pharmacy by placing a phar-

20 | f L O r i d a p h a r m a C y T O d a y

macist on record without reviewing the day to day operations of Pharmacy Practice and its Rules and statues

Resolution not Adopted

Respectfully submitted

Broward County Pharmacist Associa-tion

RESOLUTION 2

Repeal 40 hr Rule for Community Pharmacy PermitBroward County Pharmacist Associa-tion

Whereas the Practice of Pharmacy is evolving to an Information Profession where pharmacists will be reviewing medication therapy

Whereas in populated areas there are multiple pharmacies in a compact radi-us

Be it Resolved that the Florida Board of Pharmacy act in repealing the 40 hr rule for Community Pharmacy Permit withstanding that there is a pharmacy within 5 miles with extended hours or a 24 hr pharmacy within 2 miles

Contact Daniel P sweet RPhPast President Board Member Broward County Pharmacist Assoc954-232-8202

Intent With Pharmacy Practice evolv-ing with more Pharmacists are going to use there education to create office type practice The Pharmacist will need to be off-site to review medications and council patients on the use of their medication

Respectfully submittedBroward County Pharmacist Associa-tion

Motion to amendAmendment passedspeaker unable to determine the posi-

tion of the House on voice votestanding vote called for by the House speakerResolution adopted on standing vote

RESOLUTION 3

Physician Dispensing ndash Limiting Scope as Pertains to Controlled Sub-stancesBroward County Pharmacists Associa-tion

Whereas a significant problem regard-ing the misuse of controlled substances in our state has been identified and

Whereas the checks and balances that the pharmacist brings to the equation of reducing the potential for misuse of controlled substances due to conflicts of interest is circumvented in the phy-sician dispensing model

Be it Resolved that the FPA seek legis-lative changes to limit the in-office dis-pensing of controlled substances up to and not more than a three (3) day sup-ply Contact Broward County Pharmacists AssociationDaniel P sweet RPhPast President Board Member954-232-8202

Motion to amend the phrase ldquowork with the respective BoardsrdquoAmendment is adoptedMotion to amend by adding the words ldquouprdquo and the words ldquoand not more thanrdquo to the first sentenceMotion to amend passesMotion to amend by striking the last sentence of the resolveMotion to amend passesResolution Adopted

Intent With the advent of Pain Man-agement Clinics with Dispensaries Pa-tient safety and control is lost by not having a Pharmacist oversee the pa-tientsrsquo therapeutic management with-in the guidelines of the FDA and Con-trolled substance Abuse Act

RESOLUTION 4

Pharmacy Service TaxBroward County Pharmacists Associa-tion

Whereas Pharmacy has assumed the burden of absorbing the costs associat-ed with receiving and sending data to all sources

Whereas these costs continue to grow and are not associated with the cost of the product or filling fee received then

Be it Resolved that the FPA work with the proper legislative process for the state to create a TAX for prescriptions to cover all communication costs inher-ent in Rx processing for e-prescribing communications to PBMrsquos and data re-porting costs for handling in-state re-porting of Controlled substances

Be it Further Resolved that the col-lected tax be used only for Pharmacy Claims Administrative Costs in han-dling the claims and bear no economic andor administrative burdens on the pharmacy

Resolution not Adopted

Contact Broward County Pharmacists AssociationDaniel P sweet RPhPast President Board Member954-232-8202

Intent With greater dependency on data network and associated costs to all pharmacies we have been placed in a pinch With the state controlling the process we gain on many fronts First no back-end costs on any Rx claim next the state can legally charge PBMrsquos un-der contract and will be responsible for collecting the tax and lastly the state can use their collective bargain-ing power to reduce the costs associat-ed with data transmission

Respectfully submitted

Broward County Pharmacists Associa-tion

O C T O B e r 2 0 0 9 | 21

RESOLUTION 5

RPh Not a Degree Designationleon County Pharmacy Association

WHEREAS pharmacists with a PharmD degree very proudly and rightfully use their degree designation of PharmD with their name and

WHEREAS pharmacists with a BsP degree generally use RPh with their name and

WHEREAS the designation of RPh for Registered Pharmacist is not a degree designation and was enacted into the original Florida Pharmacy Practice Act of 1889 The current practice act defines a pharmacist as a licensed Pharmacist lPh

THEREFORE the leon County Phar-macy Association moves that the FPA promote the use of the BPharm desig-nation for the BsP degree in place of the RPh designation which no longer is ref-erenced in the Florida Pharmacy Prac-tice Act

Motion to amendMotion to amend failsResolution Adopted

Contact persons Michael A Jackson- (850) 222- 2400Jim Powers- (850) 422- 0079

Background The resolution pretty well speaks for itself however it should be noted that in most national pharmacy publications pharmacists with a BsP degree are using the BPharm designa-tion behind their names In research-ing Dr Gene Gramlingrsquos book ldquoA His-tory of Pharmacy in Floridardquo it has the Florida Pharmacy Practice Act of 1889 which reads as follows section 4 Be it further enacted that the Board of Phar-macy shall register in a suitable book the names and places of residence of all persons to whom they issue certifi-cates and dates thereof It shall be the duty of said Board of Pharmacy to reg-ister without examination as registered pharmacists all pharmacists and drug-gists who are engaged in business in

the state of Florida at the passage of this act as owners or principals of stores or pharmacies In any village town or city of more than 200 inhabitants helliprdquo

RESOLUTION 6

Long Term Care regulatory frame-workFlorida Chapter of American society of Consultant Pharmacist

Whereas the Florida regulatory frame-work for long-term care pharmacy should be reviewed periodically to en-sure that it is consistent with current practice the FPA legislative commit-tee resolves to coordinate with the Flor-ida Chapter of the American society of Consultant Pharmacists to review the current regulatory framework for long-Term Care pharmacy in Florida

Resolved that the FPA legislative Committee coordinate with the Flori-da Chapter of the American society of Consultant Pharmacists to review the current regulatory framework for long-Term Care Pharmacy in Florida

Resolve substituted by the sponsor and accepted by the House substitute Resolution Adopted

Contact name and Phone stephen J Grabowski (727) 945-0760

Problem As the number of our nationrsquos seniors has grown so to have the de-mands and challenges placed upon the pharmacists serving those seniors who live in long-term care facilities since the practice of pharmacy has evolved over the years with increased workload demands changing roles of pharmacy technicians and new technologies so too have the regulatory guidelines and oversight responsibilities of the state boards

Intent not only will the practice of pharmacy need to adapt to the needs of seniors in long-term care facilities but state board of pharmacies and phar-macists under their preview must un-

derstand the impact of these changes Pharmacists practicing in long-term care must collaborate with state boards of pharmacy to update practice acts to ensure the protection of the health safety and welfare of the public

RESOLUTION 7

Evaluation of the ldquoPedigree Docu-mentation Programrdquo as stated in Flor-ida Statue 499Alachua County Association of Phar-macists

Whereas Florida statue 499 states that its purpose is to safeguard the public health and promote the public welfare by protecting the public from injury by product use and by merchandising de-ceit involving drugs devices and cos-metics

Whereas Pharmacies Pharmacists Pharmacy Wholesalers Pharmaceuti-cal Manufacturers and Pharmacy Re-packagers are all an integral part of this program

Whereas there is financial costs associ-ated with this program

Whereas there are penalties associated with this program

RESOLVED - The FPA request the Agency for Health Care Administra-tion to evaluate the ldquoPedigree Docu-mentation Programrdquo (49901212) to de-termine effectiveness and identification of improvements in the program for the protection of the public safety

Problem - The state of Florida enact-ed the ldquoPedigree Documentation Pro-gramrdquo (49901212) to keep adulterated and misbranded pharmaceuticals from consumers

Intent - To determine the effectiveness of the ldquoPedigree Documentation Pro-gramrdquo in achieving its purpose

Resolution Adopted

22 | f L O r i d a p h a r m a C y T O d a y

sion forward Please join us in Talla-hassee next March

FPA Legislative Key Contact Network

The FPA legislative Committee would like to match up at least one pharmacist with every key legisla-tor in the state If you currently have a relationship with one of your state legislators or if you are willing to take the steps listed above to be one of our grassroots advocates we want to know sign up to be a member of our Key legislative Contacts If you can help please let us know by con-tacting any member of the legisla-tive Committee listed below or you may contact me directly at klwizcomcastnet

lastly your legislative Commit-tee deserves a BIG ldquoThank Yourdquo for their time and effort These mem-bers have stepped up to help our profession grow and prosper Fol-lowing is a list of the members of the 2009-2010 FPA legislative Commit-teeDavid AndrewsDon BergemannGary DalinMitchell FingerhutAmy FerrolRamy GabrielMark HobbsMichael JacksonHumberto MartinezMark PercifieldManny PrieguezAlexander PytlarzTeysha RichardsonWilliam RiffeeTheresa Tollenorman TomakaAmanda Waltemathlori WeemsKaren WhalenRobert WilburChristine Yocum

Ken Wisniewski2009-2010 legislative Committee Chair

Viewpoint continued from page 5Respectfully submitted

Alachua County Association of Phar-macists

RESOLUTION 8

Continuous quality Improvement Program-Program EvaluationAlachua County Association of Phar-macists

Whereas the CQI Program is a system of standards and procedures to identify and evaluate quality-related events and improve patient care

Whereas some of the main goals of FPA and the Board of Pharmacy is to improve patient care and safety

Whereas an evaluation of the CQI Pro-gram may identify improvements that could be incorporated into the pro-gram

Whereas information about patient safety practices obtained from the pro-gram evaluation would be helpful if shared with the pharmacists of Florida and the nation

Resolved that the FPA request the Flor-ida Board of Pharmacy to conduct a Program evaluation of the Continuous Quality Improvement Program (64B16-27300)

Problem- since the enactment of 64B16-27300 Continuous Quality Improve-ment (CQI) Program there has not been a program evaluation

Intent- The evaluation of the CQI Pro-gram for effectiveness

Respectfully submittedAlachua County Association of Phar-macists

Resolution Adopted

JOIN TODAY

Florida Pharmacy Association

O C T O B e r 2 0 0 9 | 23

RESOLUTION 1Pharmacy Manager in Charge Man-date rule changes for the State require to be on-site 24 hr perweekBroward County Pharmacist Associa-tion Whereas There is no statutory or rule requirement for a Manager in Charge to be present in the PharmacyWhereas over the last few years in-ternet practices and non-pharmacist owned pharmacies have flourished in practice settings that were poorly su-pervisedBe it Resolved that the FPA propose that the Florida Pharmacy Board pro-mulgate rules which safeguard the public by having a Responsible par-ty (Pharmacy Manager of Record) on premises 24 hrs per given weekContact Broward County Pharmacist AssocDaniel P sweet RPhPast President Board Member954-232-8202Intent To protect the public from non-pharmacist owners to influence the practice of pharmacy by placing a phar-macist on record without reviewing the day to day operations of Pharmacy Practice and its Rules and statuesResolution Not AdoptedRespectfully SubmittedBroward County Pharmacist Associa-tion

RESOLUTION 2

Repeal 40 hr Rule for Community Pharmacy PermitBroward County Pharmacist Associa-tion Whereas the Practice of Pharmacy is evolving to an Information Profession where pharmacists will be reviewing medication therapyWhereas in populated areas there are multiple pharmacies in a compact radi-usBe it Resolved that the Florida Board of Pharmacy act in repealing the 40 hr rule for Community Pharmacy Permit withstanding that there is a pharmacy within 5 miles with extended hours or a 24 hr pharmacy within 2 milesContact

Daniel P sweet RPhPast President Board Member Broward County Pharmacist Assoc954-232-8202 Intent With Pharmacy Practice evolv-ing with more Pharmacists are going to use there education to create office type practice The Pharmacist will need to be off-site to review medications and council patients on the use of their medicationRespectfully SubmittedBroward County Pharmacist Associa-tion Motion to amendAmendment passedSpeaker unable to determine the posi-tion of the House on voice voteStanding vote called for by the House SpeakerResolution adopted on standing vote

RESOLUTION 3

Physician Dispensing ndash Limiting Scope as Pertains to Controlled Sub-stancesBroward County Pharmacists Associa-tionWhereas a significant problem regard-ing the misuse of controlled substances in our state has been identified andWhereas the checks and balances that the pharmacist brings to the equation of reducing the potential for misuse of controlled substances due to conflicts of interest is circumvented in the phy-sician dispensing model Be it Resolved that the FPA seek legis-lative changes to limit the in-office dis-pensing of controlled substances up to and not more than a three (3) day sup-ply Contact Broward County Pharmacists Associa-tionDaniel P sweet RPhPast President Board Member954-232-8202Motion to amend the phrase ldquowork with the respective BoardsrdquoAmendment is adoptedMotion to amend by adding the words ldquouprdquo and the words ldquoand not more thanrdquo to the first sentenceMotion to amend passes

Motion to amend by striking the last sentence of the resolveMotion to amend passesResolution AdoptedIntent With the advent of Pain Man-agement Clinics with Dispensaries Pa-tient safety and control is lost by not having a Pharmacist oversee the pa-tientsrsquo therapeutic management with-in the guidelines of the FDA and Con-trolled substance Abuse Act

RESOLUTION 4

Pharmacy Service TaxBroward County Pharmacists Associa-tionWhereas Pharmacy has assumed the burden of absorbing the costs associat-ed with receiving and sending data to all sourcesWhereas these costs continue to grow and are not associated with the cost of the product or filling fee received thenBe it Resolved that the FPA work with the proper legislative process for the state to create a TAX for prescriptions to cover all communication costs inher-ent in Rx processing for e-prescribing communications to PBMrsquos and data re-porting costs for handling in-state re-porting of Controlled substancesBe it Further Resolved that the col-lected tax be used only for Pharmacy Claims Administrative Costs in han-dling the claims and bear no economic andor administrative burdens on the pharmacyResolution Not AdoptedContact Broward County Pharmacists Associa-tionDaniel P sweet RPhPast President Board Member954-232-8202Intent With greater dependency on data network and associated costs to all pharmacies we have been placed in a pinch With the state controlling the process we gain on many fronts First no back-end costs on any Rx claim next the state can legally charge PBMrsquos un-der contract and will be responsible for collecting the tax and lastly the state can use their collective bargain-ing power to reduce the costs associat-

EmailFax Network HotlineReceive up-to-date and up-to-the-min-ute information on legislative Develop-ments Board of Pharmacy changes and other topics affecting the profession of pharmacy Call FPA Member services at (850) 222-2400 ext 110 ndash rsimmonspharmviewcom

Tax ResourceProvides defense and protection of your assets when you are audited Tax Resource will defend their clients for any income tax audit Federal or state for any tax year Tax Resource pio-neered the tax audit service business and is the largest audit defense firm in the United states Call (800) 92-AUDIT (800-922-8348)

Atlantic Coupon Redemption Center Receive payment in 25 working days of couponrsquos face value plus a rebate of 16 cents based on store volume Call Meredith McCord (800) 223-0398

Florida Commerce Federal Credit Union The chief objective of a credit union is not generating profits for stockholders but to provide service to its member The members benefit by getting attrac-tive returns on savings loans made at fair rates of interest plus enhanced and expanded services This is probably one of the best deals around Call (850) 488-0035

Collection Services For past due accounts call I C system Inc Call (800) 328-9595

Other Member Benefits n Discounted Continuing education

Programsn Monthly Issues of the Florida Phar-

macy Today Journal

ITC Deltacom offering FPA members exclusive associa-tion discounts on telecommunication ser-vices including local services long dis-tance data networks telephone systems and dedicated internet access Call 850-701-3200 or visit wwwitcdeltacomcom

Pharmacy Resource Materials FPA provides the most recent and rele-vant resources necessary to meet your professional needs This includes the Continuous Quality Improvement Manu-al Controlled substance Inventory Book-lets and Pharmacy signs Please call FPA Members services for more information 850-222-2400 ext 110

FPA Website Visit our FPA Website at wwpharmviewcom The site launched in December 2004 and revised in october 2008 includes a members only section The website of-fers a secure server so that you can reg-isters for Ce programs renew your mem-bership or purchase resources materials with your credit card

in keeping with a tradition of offering our members real benefits the Florida Pharmacy association (FPa) is proud to announce the introduction of sponsored discount Benefits Program these vendors are dedicated to providing an excellent value to all FPa members and associates to take advantage of benefits contact the vendors directly at the numbers listed below and identify yourself as a FPa member and have your membership id number handy

MEMBERSHIP MATTERS

Florida Pharmacy Association

24 | f L O r i d a p h a r m a C y T O d a y

Wyeth Bowl of Hygeia

Awarded to a pharmacist for out-standing community service above and beyond professional duties The use of the following selection criteria is re-quired

The recipient must be a Florida li- n

censed pharmacist and a member of FPAThe recipient must be living Awards n

are not presented posthumouslyThe recipient has not previously re- n

ceived the awardThe recipient is not currently serving n

nor has heshe served within the immediate past 2 years on its award committee or an officer of the asso-ciation in other than an ex officio ca-pacityThe recipient has compiled an out- n

standing record of community ser-vice which apart from hisher spe-cific identification as a pharmacist reflects well on the profession

James H Beal Award

Awarded to the Pharmacist of the Year The criteria established for this award is that the recipient be a Flori-da registered pharmacist and a mem-ber of FPA who has rendered outstand-ing service to pharmacy within the past five yearsCriteria

The recipient must be a Florida reg- n

istered pharmacist and a member of the FPAThe recipient has rendered outstand- n

ing service to pharmacy within the past five years

Technician of the Year AwardAwarded annually to a Florida

pharmacy technician who is recog-nized for hisher outstanding perfor-mance and achievement during hisher career

Criteria

Candidate must be a member of n

the Florida Pharmacy Association for at least 2 yearsCandidate must have demonstrat- n

ed contributions and dedication to the advancement of pharmacy technician practiceCandidate must have demonstrat- n

ed contributions to the Florida Pharmacy Association andor oth-er pharmacy organizationsCandidate must have demonstrat- n

ed commitment to community ser-viceCandidate is not a past recipient of n

this award

RQ Richards Award

This award is based on outstanding achievement in the field of pharmaceu-tical public relations in FloridaCriteria

The recipient must be a Florida reg- n

istered pharmacist and a member of the FPAThe recipient has displayed out- n

standing achievement in the field of pharmaceutical public relations in Florida

Frank TobackAZO Consultant

Pharmacist Award

CriteriaCandidate must be an FPA member n

registered with the Florida Board of Pharmacy as a consultant pharma-cist in good standingCandidate should be selected based n

on their outstanding achievements in the field of consultant pharmacy

DCPA Sidney Simkowitz

Pharmacy Involvement Award

Presented annually to a Florida pharmacist who has been active at the local and state pharmacy association level in advancement of the profes-sion of pharmacy in Florida

CriteriaA minimum of five years of active n

involvement in and contributions to the local association and FPACandidate must have held office at n

local level pharmacy associationMember in good standing for a pe- n

riod of at least five years in the FPA and must have served as a member or chairman of a committee of the associationCandidate must have been active- n

ly involved in a project that has or could potentially be of benefit to members of the profession

Pharmacists Mutual Companies

Distinguished Young Pharmacist

Award

Awarded to a young pharmacist for their involvement and dedication to the practice of pharmacyCriteria

licensed to practice for nine (9) years n

or lesslicensed to practice in the state in n

which selectedParticipation in national pharmacy n

association professional programs andor community service

IPA Roman Maximo Corrons

Inspiration amp Motivation Award

Interamerican Pharmacists Association created this award to honor the memo-ry of Roman M Corrons who inspired and motivated countless pharmacists to participate actively and aspire to take on leadership roles in their profession Roman was always there with guidance and support that motivated pharma-cists and encouraged visionary leader-ship approachable active membership and succession planning This award recognizes the motivators among us who inspire others to continue to ad-vance the professionCriteria

C a L L f O r N O m i N a T i O N s F P A A W A R D S 2 0 0 9 - 2 0 1 0

O C T O B e r 2 0 0 9 | 25

DEADLINE FOR NOMINATIONS FEBRUARY 28 2010

The recipient must be a Florida li- n

censed Pharmacist and a member of the FPACandidate should motivate others n

to excel within the profession by en-couraging them to be leadersCandidate is not necessarily an as- n

sociation officer but guides sup-ports andor inspires others

A brief description on the candidatersquos motivationalinspirational skills must accompany the nomination

The Jean Lamberti

Mentorship Award

The Jean lamberti Mentorship Award was established in 1998 to hon-or those pharmacists who have taken time to share their knowledge and ex-

perience with pharmacist candidates The award is named in honor of long time FPA member Jean lamberti for her effort in working with pharmacy studentsCriteria

The recipient must be an FPA mem- n

berThe recipient must serve as a role n

model for the profession of pharmacy

Innovative Pharmacy Practice

Award

Awarded to honor practicing phar-macists who have demonstrated inno-vation in pharmacy practice that has resulted in improved patient careCriteria

The recipient has demonstrated inno- n

vative pharmacy practice resulting in improved patient careThe recipient should be a practic- n

ing pharmacist within the geograph-ic area represented by the presenting Association

Qualified nominee A pharmacist prac-ticing within the geographic area repre-sented by the presenting Association

I AM PLEASED TO SUBMIT THE FOLLOWING NOMINATION

Name

Address

FOR THE FOLLOWING AWARD

(Nomination Deadline February 28 2009)

Wyeth Bowl of Hygeia Award

James H Beal Award

RQ Richards Award

Frank TobackAZO Consultant Pharmacist Award

DCPA Sydney Simkowitz Award

Pharmacists Mutual Co Distinguished Young Pharmacist Award

Academy of Pharmacy Practice Practitioner Merit Award

The Jean Lamberti Mentorship Award

IPA Roman Maximo Corrons Inspiration amp Motivation Award

Innovative Pharmacy Practice Award

Technician of the Year Award

NOMINATED BY

Name

Date Submitted

Signature

Please describe briefly below the nominees accomplishments indicating why you feel he or she should receive this award (Attach additional sheets if necessary)

C a L L f O r N O m i N a T i O N s F P A A W A R D S 2 0 0 9 - 2 0 1 0

F P A A W A R D S N O M I N A T I O N F O R M

mail nominatons to annual awards Florida Pharmacy association 610 n adams st tallahassee Fl 32301(850) 222-2400 FaX (850) 561-6758 dEadlinE For nominations is FEBrUary 28 2010

26 | f L O r i d a p h a r m a C y T O d a y

CALL FOR RESOLUTIONS TO THE 2010 HOUSE OF DELEGATES

The House of Delegates Board of Directors will meet in March 2010 to review and approve resolu-tions for the Annual Meeting The deadline for submitting resolutions is March 15 2010 PleAse noTe THIs DeADlIne

The following information will be needed when submitting resolutions

1 name of organization The name of the organization submitting the resolutions(s)2 name and telephone number of individuals A contact in the event clarification or further in-

formation is needed 3 Problem A statement of the problem addressed by the resolution4 Intent A statement of what passage of the resolution will accomplish5 Resolution Format (please type and use double spacing)

TiTle of ResoluTion

name of oRganizaTion

WheReas and

WheReas

TheRefoRe be iT

Resolved (ThaT The fPa oR subdivision of fPa)

ConTaCT name and Phone

PRoblem

inTenT

Page 12: October 2009 Florida Pharmacy Journal

12 | f L O r i d a p h a r m a C y T O d a y

copy 2009 Medical Staffi ng Network Inc | PS-9005D

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Businesses should have an understanding of their normal seasonal absenteeism rates and know how to monitor their personnel for any unusual increases in absenteeism through the fall and winter Business continuity planners should as-sess their essential business functions now to determine at what threshold of absenteeism those functions would be threatened if absenteeism escalates Planners can then pre-pare to take more aggressive measures to protect continuity as absenteeism escalates towards those thresholds

even employers in communities that have not yet felt ef-fects from 2009 H1n1 influenza should plan for an influen-za outbreak this fall and winter and be ready to implement strategies to protect their workforce while ensuring continuity of operations During an influenza pandemic all sick people should stay home and away from the workplace hand wash-ing and covering coughs and sneezes should be encouraged and routine cleaning of commonly touched surfaces should be performed regularly If the severity of illness increases employers should be ready to implement additional measures while continuing to rigorously implement the interventions recommended for an outbreak similar to the springsummer 2009 H1n1 outbreak If severity increases public health offi-cials may recommend a variety of methods for increasing the physical distance between people (called social distancing) to reduce the spread of disease such as school dismissal child care program closure canceling large community gatherings canceling large business-related meetings spacing workers farther apart in the workplace canceling non-essential travel

and recommending work-from-home strategies for workers that can conduct their business remotely

Please remember employers should develop capabilities to respond to both scenarios and these two conditions serve only as a planning framework Businesses and other employ-ers should develop flexible capabilities to respond to either situation given the difficulties in accurately predicting the ex-tent and severity of 2009 H1n1 as it unfolds during the 2009ndash2010 influenza season Individual businesses may implement additional actions if they experience high absenteeism or business continuity is compromised In addition employers should be aware that other emergencies such as hurricanes or other natural disasters may happen during the fall and win-ter creating additional challenging problems for businesses and communities

WORk WITH STATE AND LOCAL PUBLIC HEALTH PARTNERS

Coordination with state and local health officials is strong-ly encouraged for all businesses so that timely and accurate information can guide appropriate responses in each location where their operations reside since the intensity of an out-break may differ according to geographic location local pub-lic health officials will be issuing guidance specific to their communities Also businesses could work with public health and community leaders to explore ways of improving accessi-bility of vaccination for the workforce and in the community

kEEP SICk WORkERS HOME

one of the best way to reduce the spread of influenza is to keep sick people away from well people However in the fall and winter it will not be possible to quickly determine if workers who are ill have 2009 H1n1 seasonal influenza or any number of other different conditions based on symptoms alone local and state health department surveillance infor-mation can be helpful to know when influenza is circulating in the community although the availability timeliness and amount of local information on when influenza is circulating may vary substantially from community to community

Workers who have symptoms of influenza-like illness3 are recommended to stay home and not come to work until at least 24 hours after their fever has resolved4 Regardless of the size of the business or the function or services that you pro-vide all employers should plan now to allow and encourage sick workers to stay home without fear of losing their jobs CDC recommends this strategy for all levels of severity em-ployers should plan now for how they will operate if there is significant absenteeism from sick workers However employ-ers should know that some persons with influenza including those ill with 2009 H1n1 do not have fever Therefore it will not be possible to exclude everyone who is ill with influenza from the workplace

BE PREPARED IF SCHOOLS DISMISS STUDENTS OR CHILD CARE PROGRAMS CLOSE

In some communities schools may dismiss students and childcare programs may close particularly if the severity in-

O C T O B e r 2 0 0 9 | 13

creases5 officials will make these decisions to protect pub-lic health but they will affect your businessrsquos functioning es-pecially affecting absenteeism Plan now to determine how you will operate if absenteeism spikes from increases in sick workers those who stay home to care for ill family members and those who must stay home to watch their children if dis-missed from school Businesses and other employers should prepare to institute flexible workplace and leave policies for these workers

Actions Employers Should Take NowReview or establish a flexible influenza pandemic plan n

and involve your employees in developing and reviewing your planConduct a focused discussion or exercise using your plan n

to find out ahead of time whether the plan has gaps or problems that need to be corrected before flu seasonHave an understanding of your organizationrsquos normal n

seasonal absenteeism rates and know how to monitor your personnel for any unusual increases in absenteeism through the fall and winterengage state and local health department to confirm n

channels of communication and methods for dissemina-tion of local outbreak informationAllow sick workers to stay home without fear of losing n

their jobsDevelop other flexible leave policies to allow workers to n

stay home to care for sick family members or for children if schools dismiss students or child care programs closeshare your influenza pandemic plan with employees and n

explain what human resources policies workplace and leave flexibilities and pay and benefits will be available to themshare best practices with other businesses in your com- n

munities (especially those in your supply chain) cham-bers of commerce and associations to improve communi-ty response efforts andAdd a ldquowidgetrdquo or ldquobuttonrdquo to your company Web page n

or employee Web sites so employees can access the lat-est information on influenza wwwcdcgovwidgets and wwwcdcgovsocialMediaCampaignsH1n1buttonshtml

Important Components of an Influenza Pandemic Plan

Be prepared to implement multiple measures to protect n

workers and ensure business continuity A layered ap-proach will likely work better than using just one mea-sureIdentify possible work-related exposure and health risks n

to your employees The occupational safety and Health Administration (osHA) has developed tools to determine if your employees are at risk of work-related exposures and if so how to respond (see wwwoshagovdsgtopics

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14 | f L O r i d a p h a r m a C y T O d a y

City of Tallahassee Declares October as American Pharmacists Month

Tallahassee Mayor John Marks has declared october as American Pharmacist Month In a procla-mation signed on october 1 2009 Mayor Marks urged all citizens to acknowledge the valuable servic-es of pharmacists to provide safe affordable and beneficial pharma-ceutical care services and prod-ucts to all citizens

The Florida Pharmacy Associa-tion wish to thank our FAMU in-tern Carina Davison for her work with the City of Tallahassee dur-ing her rotation here at the FPA of-fice

FROM THE GOVERNING BODY OFTHE CITY OF TALLAHASSEE

PROCLAMATIONWhereas pharmacy is one of the oldest of the health professions con-cerned with the health and well-being of all people andWhereas today there are over 254000 pharmacists practicing in the United States and over 400 pharmacists licensed in the city of Tallahassee providing services to assure the rational and safe use of all medications andWhereas the use of medication as a cost-effective alternative to more expensive medical procedures is becoming a major force in moderating overall health care costs andWhereas todays powerful medications require greater attention to the manner in which they are used by different patient population groups -both clinically and demographically andWhereas it is important that all users of prescription and nonprescrip-tion medications or their caregivers be knowledgeable about and share responsibility for their own drug therapy andWhereas the American Pharmacists Association and the Florida Phar-macy Association have declared October as American Pharmacists Month with the theme Know Your Medicines - Know Your Pharmacist

Now therefore be it resolved that I John Marks do hereby proclaim October as

American Pharmacists Month

in the city of Tallahassee and urge all our citizens to acknowledge the valuable services of pharmacists to provide safe affordable and beneficial pharmaceutical care services and products to all citizens

O C T O B e r 2 0 0 9 | 15

pandemicfluindexhtml)Review human resources policies to make sure that poli- n

cies and practices are consistent with public health rec-ommendations and are consistent with existing state and federal workplace laws (for more information on employ-er responsibilities employers should visit the Department of laborrsquos and the equal employment opportunity Com-missionrsquos websites at wwwdolgov and wwweeocgov)Allow employees to stay home if they are ill have to care n

for ill family members or must watch their children if schools or childcare facilities closeexplore whether you can establish policies and practices n

such as flexible worksites (eg telecommuting) and flex-ible work hours (eg staggered shifts) when possible to increased the physical distance among employees and be-tween employees and others if local public health author-ities recommend the use of social distancing strategies ensure that you have the information technology and in-frastructure needed to support multiple workers who may be able to work from homeIdentify essential business functions essential jobs or n

roles and critical elements within your supply chains (eg raw materials suppliers subcontractor servicesproducts and logistics) required to maintain business op-erations Plan for how your business will operate if there is increasing absenteeism or these supply chains are inter-ruptedset up authorities triggers and procedures for activat- n

ing and terminating the companyrsquos response plan alter-ing business operations (eg possibly changing or closing operations in affected areas) and transferring business knowledge to key employees Work closely with your lo-cal health officials to identify these triggersPlan to minimize exposure to fellow employees or the n

public if public health officials call for social distancingestablish a process to communicate information to work- n

ers and business partners on your 2009 H1n1 influenza response plans and latest 2009 H1n1 influenza informa-tion Anticipate employee fear anxiety rumors and mis-information and plan communications accordingly

over the past several years HHs CDC DHs osHA eeoC and other federal partners have developed guidelines including checklists to assist businesses industries and oth-er employers in planning for a pandemic outbreak Review these resources to assist in your planning efforts wwwflugovplanworkplaceplanningindexhtml

The recommendations that follow provide guidance on how employers can develop strategies and respond to two levels of severity local conditions will influence the deci-sions that public health officials make regarding community-level strategies employers should take the time now to learn about plans in place in each community where they have a presence

Recommended Employer Responses for the 2009-2010 Flu SeasonRecommended Action Steps under Current Flu Conditions (similar severity as in SpringSummer 2009)

If the severity of illness in the fall and winter is similar to that observed in the spring and summer of 2009 the effects of 2009 H1n1 influenza may not have substantial impacts on absenteeism though some increase in absenteeism over the spring season is anticipated When larger numbers of people become ill correspondingly larger numbers of people will be-come seriously ill and may require hospitalization

SICK PERSONS SHOuLD STAY HOMEAdvise workers to be alert to any signs of fever and any n

other signs of influenza-like illness6 before reporting to work each day and notify their supervisor and stay home if they are ill employees who are ill should not travel while they are illCDC recommends that employees with influenza-like ill- n

ness remain at home until at least 24 hours after they are free of fever (100deg F [378deg C] or greater) or signs of a fever without the use of fever-reducing medicationsexpect sick employees to be out for about 3 to 5 days in n

most cases even if antiviral medications are usedensure that your sick leave policies are flexible and con- n

sistent with public health guidance and that employees are well aware of these policiesTalk with companies that provide your company with n

contract or temporary workers about the importance of sick workers staying home and encourage them to devel-op non-punitive leave policiesDo not require a doctorrsquos note for workers who are ill with n

influenza-like illness to validate their illness or to return to work as doctorrsquos offices and medical facilities may be extremely busy and may not be able to provide such doc-umentation in a timely way employees who are well but who have an ill family mem- n

ber at home with influenza can go to work as usual How-ever these employees should monitor their health every day and notify their supervisor and stay home if they be-come ill employers should maintain flexible policies that permit employees to stay home to care for an ill family member employers should be aware that more workers may need to stay at home to care for ill children or other ill family members than is usual

SICK EMPLOYEES AT WORK SHOuLD BE ASKED TO gO HOME

CDC recommends that workers who appear to have an n

influenza-like illness upon arrival or become ill during the day be promptly separated from other workers and be advised to go home until at least 24 hours after they are free of fever (100deg F [378deg C] or greater) or signs of a fever without the use of fever-reducing medications Those who become ill with symptoms of an influenza-like n

illness during the work day should be

16 | f L O r i d a p h a r m a C y T O d a y

o separated from other workers and asked to go home promptly (For recommendations on personal protec-tive equipment for a person assisting the ill employee see Interim Recommendations for Facemask and Res-pirator Use to Reduce novel Influenza A (H1n1) Vi-rus Transmission httpwwwcdcgovh1n1flumaskshtm)

o When possible and if they can tolerate it workers with influenza-like illness should be given a surgical mask to wear before they go home if they cannot be placed in an area away from others

If an employee becomes ill at work inform fellow employ- n

ees of their possible exposure in the workplace to influen-za-like illness but maintain confidentiality as required by the Americans with Disabilities Act (ADA) For more in-formation on privacy issues please refer to httpwwwflugovfaqworkplace_questionsequal_employmentin-dexhtmlPrivacyIssues employees exposed to a sick co-worker should monitor themselves for symptoms of influ-enza-like illness and stay home if they are sick

COVER COugHS AND SNEEzESInfluenza viruses are thought to spread mainly from per- n

son to person in respiratory droplets of coughs and sneez-es Provide employee messages on the importance of cov-ering coughs and sneezes with a tissue or in the absence of a tissue onersquos sleeve Place posters in the worksite that encourages cough and sneeze etiquetteProvide tissues and no-touch disposal receptacles for use n

by employees

IMPROVE HAND HYgIENEInfluenza may be spread via contaminated hands In- n

struct employees to wash their hands often with soap and water or use an alcohol-based hand cleaner especially af-ter coughing or sneezing Place posters in the worksite that encourage hand hygieneProvide soap and water and alcohol-based hand sanitiz- n

ers in the workplace ensure that adequate supplies are maintained If feasible place hand sanitizers in multiple locations or in conference rooms to encourage hand hy-giene

CLEAN SuRFACES AND ITEMS THAT ARE MORE LIKELY TO HAVE FREquENT HAND CONTACT

Frequently clean all commonly touched surfaces in the n

workplace such as workstations countertops and door-knobs Use the cleaning agents that are usually used in these areas and follow the directions on the labelno additional disinfection beyond routine cleaning is rec- n

ommendedENCOuRAgE EMPLOYEES TO gET VACCINATED

encourage your employees to get vaccinated for seasonal n

influenza For information on groups prioritized for sea-sonal influenza vaccines please see httpwwwcdcgovfluprotectkeyfactshtm encourage your employees also to get vaccinated for 2009 n

H1n1 influenza when vaccines are available to them Dif-ferent groups are prioritized for 2009 H1n1 influenza than for seasonal influenza For information on groups prioritized for H1n1 influenza vaccine please see httpwwwcdcgovh1n1fluvaccinationaciphtm offer opportunities at your worksite for influenza vacci- n

nation Consider granting employees time off from work to get vaccinated if not offered at the worksiteReview the health benefits you offer employees and work n

with insurers to explore if they can cover the costs of in-fluenza vaccination

TAKE MEASuRES TO PROTECT EMPLOYEES WHO ARE AT HIgHER RISK FOR COMPLICATIONS OF INFLuENzA

People at higher risk for complications from influenza in- n

clude pregnant women children under 5 years of age adults and children who have chronic lung disease (such as asthma) heart disease diabetes diseases that suppress the immune system and other chronic medical conditions and those who are 65 years or older7 Inform employees that some people are at higher risk of n

complications from influenza and that if they are at high-er risk for complications they should check with their health care provider if they become ill early treatment with antiviral medications is very important for people at high risk because it can prevent hospitalizations and deathsencourage employees recommended for seasonal influ- n

enza vaccine and 2009 H1n1 vaccines to get vaccinated as soon as these vaccines are available For information on groups prioritized for seasonal and H1n1 vaccines please see httpwwwcdcgovfluprotectkeyfactshtm and httpwwwcdcgovh1n1fluvaccinationaciphtmemployees who become ill and are at increased risk of n

complications from influenza and ill employees who are concerned about their illness should call their health care provider for advice Their health care provider might want them to take antiviral medications to reduce the likelihood of severe complications from the influenzasee n httpwwwcdcgovh1n1fluqahtm for more infor-mation

PREPARE FOR INCREASED NuMBERS OF EMPLOYEE ABSENCES DuE TO ILLNESS IN EMPLOYEES AND THEIR FAMILY MEMBERS AND PLAN WAYS FOR ESSENTIAL BuSINESS FuNCTIONS TO CONTINuE

employers should plan to monitor and respond to ab- n

senteeism at the workplace Implement plans to contin-ue your essential functions in case you experience high-er than usual absenteeism elevated absentee rates can be due to sick workers those who need to stay home and care for others or from workers with conditions that make them at higher risk for complications from influen-za and who may be worried about coming to work Cross-train personnel to perform essential functions so n

that the workplace is able to operate even if key staff are absent

O C T O B e r 2 0 0 9 | 17

Assess your essential functions and the reliance that oth- n

ers and the community have on your services or products Be prepared to change your business practices if need-ed to maintain critical operations (eg identify alternative suppliers prioritize customers or temporarily suspend some of your operations if needed)

ADVISE EMPLOYEES BEFORE TRAVELINg TO TAKE CERTAIN STEPS

Advise workers to check themselves for fever and any n

other signs of influenza-like illness before starting travel and notify their supervisor and stay home if they are illAdvise employees who will be traveling or on temporary n

assignment about precautions they may need to take to protect their health and who to call if they become illemployees who become ill while traveling and are at in- n

creased risk of complications from influenza and oth-ers concerned about their illness should promptly call a health care provider for adviceensure employees who become ill while traveling or on n

temporary assignment understand that they should noti-fy their supervisor If outside the United states ill employees should fol- n

low your companyrsquos policy for obtaining medical care or contact a health care provider or overseas medical assis-tance company to assist them with finding an appropriate health care provider in that country if needed A Us con-sular officer can help locate health care services However Us embassies consulates and military facilities do not have the legal authority capability and resources to evac-uate or give medications vaccines or medical care to pri-vate Us citizens overseassee CDCrsquos Travel Website ( n httpwwwncdcgovtrav-elcontentnovel-h1n1-fluaspx) for more information for travelers

PREPARE FOR THE POSSIBILITY OF SCHOOL DISMISSAL OR TEMPORARY CLOSuRE OF CHILD CARE PROgRAMS

Although school dismissals or closures of child care pro- n

grams are not likely to be generally recommended at this level of severity they are possible in some jurisdictions Be prepared to allow workers to stay home to care for n

children if schools are dismissed or child care programs are closed strongly recommend that parents not bring their children n

with them to work while schools are dismissedensure that your leave policies are flexible and non-puni- n

tive Cross-train employees to cover essential functions n

Read CDCrsquos Guidance for state and local Public Health n

officials and school Administrators for school (K-12) Re-sponses which can be found at httpwwwcdcgovh1n-1fluschoolsschoolguidancehtm to better understand the conditions under which schools may be dismissed

Under Conditions with Increased Severity Compared to SpringSummer 2009

If 2009 H1n1 becomes more severe than during springsummer 2009 absenteeism will likely be far greater and ad-ditional protective measures to slow the spread of influenza may be considered Check with your local health department for the extent and severity of disease activity in your commu-nity and for recommendations for necessary measures Deci-sions about what tools should be used during a severe 2009 H1n1 outbreak should be based on the observed severity of the event its impact on specific subpopulations the need to protect workers the expected benefit of the interventions the feasibility of success of implementing these measures the di-rect and indirect costs of different interventions and the ef-fects on critical infrastructure health care delivery and soci-ety The following are measures that should be considered if influenza severity increases and are meant for use in addition to the measures outlined above

CONSIDER ACTIVE SCREENINg OF EMPLOYEES WHO REPORT TO WORK

If influenza severity increases at the beginning of the n

workday or with each new shift all employees should be asked about symptoms consistent with an influenza ill-ness8 such as fever or chills AnD cough or sore throat If the severity or the impact of influenza increases CDC rec-ommends that persons with an influenza-like illness not come to work or travel and remain at home for at least 7 days even if symptoms resolve sooner Individuals who are still sick 7 days after they become ill should continue to stay home until at least 24 hours after symptoms have resolved If influenza severity increases CDC recom-mends that people stay home at least 7 days whether or not antiviral medications are usedMake sure your sick leave policies are flexible and consis- n

tent with public health guidance and that your employ-ees are aware of these policies Do not require a doctorrsquos note for workers who are ill with n

influenzaContinue to advise workers to check for any signs of ill- n

ness before reporting to work each dayMake contingency plans for increased absenteeism n

caused by illness in workers or illness in workersrsquo family members that would require them to stay home Planning for absenteeism could include cross-training current em-ployees or hiring temporary workers

CONSIDER ALTERNATIVE WORK ENVIRONMENTS FOR EMPLOYEES AT HIgHER RISK FOR COMPLICATIONS OF INFLuENzA DuRINg PERIODS OF INCREASED INFLuENzA ACTIVITY IN THE COMMuNITY

employees with an underlying chronic medical condition n

or who are pregnant should consider calling their health care provider for advice about how to reduce their risk of exposure to influenza and if they get sick how best to get early treatment for influenzaIf influenza severity increases and if influenza transmis- n

sion is high in the community employers may want to evaluate their work environment to see how they can re-

18 | f L O r i d a p h a r m a C y T O d a y

duce the number of people that high-risk employees come in contact with such as exploring options for telecom-muting from home (if feasible) employers can also think about how workers at higher risk for influenza compli-cations could be reassigned to duties that have minimal contact with other employees clients or customers If these workers cannot be reassigned duties to reduce con-tact with others are concerned about their ability to avoid influenza at the workplace or will be in crowded condi-tions at work or while commuting to work then consider allowing employees at higher risk for influenza complica-tions to stay home from workCDC recommends that ill workers at higher risk of com- n

plications from influenza seek early treatment if they be-come illsee n httpwwwcdcgovh1n1fluqahtm for more infor-mation

CONSIDER INCREASINg SOCIAL DISTANCINg IN THE WORKPLACE

If influenza severity increases local public health offi- n

cials may recommend that employers implement mea-sures to increase the physical distance between people in the workplace to reduce the spread of influenza The goal should be for there to be at least 6 feet of distance between people at most times This is not a simple or easy strategy and would typically require considerable flexibility These measures may include avoiding crowded work settings canceling business-related face-to-face meetings spacing workers farther apart canceling non-essential travel in-creasing use of teleworking and using staggered shifts to allow fewer workers to be in the workplace at the same time9

If appropriate for your type of business and feasible re- n

view or develop policies for teleworking including an as-sessment of the capabilities and gaps of your current com-puter systems and availability of technical support Take remedial steps if needed and test your system in advance to assure it can handle an increase in remote usersRecommendations to increase social distancing may af- n

fect community functioning Because supply chain issues may be affected make sure you have plans for back-up suppliers

CONSIDER CANCELINg NON-ESSENTIAL BuSINESS TRAVEL AND ADVISINg EMPLOYEES ABOuT POSSIBLE DISRuPTIONS WHILE TRAVELINg OVERSEAS

If the severity of the outbreak worldwide increases in the n

fall or winter public health officials may recommend so-cial distancing strategies which include canceling non-es-sential travel and travel restrictions may be enacted by some countries which may limit the ability of employees to return home if they become ill while on travel statusIf influenza severity increases travelers should also be n

prepared for travel delays health screenings and other activities targeted towards travelers Provide information to travelers about contingency plans and how their travel

can be rebooked for these possible delays

PREPARE FOR SCHOOL DISMISSAL OR CLOSuRE OF CHILD CARE PROgRAMS

school dismissals and closure of child care programs are n

more likely at higher levels of severity Be prepared to allow workers to stay home to care for their children if schools are dismissed or child care programs are closed If dismissal is needed schools are being advised to dis-miss students for at least 5 to 7 calendar days or longer if necessary encourage employees who perform essential functions n

and who have children to plan for contingencies should local child care programs close or schools dismiss stu-dents Be prepared for prolonged absenteeism if schools dismiss n

students for an extended time Make sure your leave poli-cies are flexible and non-punitive employers should strongly recommend that parents not n

bring their children with them to work while schools are dismissedImplement flexible workplace policies like teleworking n

and staggered shifts Cross-train employees to cover essential functions n

Read CDCrsquos school guidance which can be found at n

httpwwwcdcgovh1n1fluschoolsschoolguidancehtm to better understand the conditions under which schools may be dismissed

OTHER CONSIDERATIONSAs part of their comprehensive pandemic planning n

some public and private sector employers have stock-piled or otherwise arranged for influenza antiviral drugs to be available for their employees during a pandemic To guide these efforts HHs released guidance to busi-nesses in 2008 entitled Considerations for Antiviral Drug Stockpiling by Employers in Preparation for an Influenza Pan-demic (httpwwwflugovvaccineantiviral_employershtml) see updated interim guidance on the use of antivi-ral agents for treatment and prophylaxis of 2009 H1n1 in-fluenza infection at httpwwwcdcgovh1n1flurecom-mendationshtmemployers should be aware that the severity of 2009 n

H1n1 influenza could change rapidly therefore local public health recommendations to communities and busi-nesses could be revised quickly Planners should identi-fy sources of timely and accurate information so they are aware of changes to recommendations and can promptly implement revised or additional measures recommended by local public health officials

O C T O B e r 2 0 0 9 | 19

The Florida Pharmacy Association 2009 ResolutionsPresented to the House of Delegates

It is an honor to serve as your 2009-2010 FPA speaker of the House of Delegates I have the privilege of follow-ing in the footsteps of some of FPArsquos most effective and prominent leaders and speakers including most recently suzanne Kelly

The House meeting held during the 2009 FPA An-nual Meeting in st Augustine was a lively and exciting meeting for our association If you missed the meeting or unaware of how the FPA House of Delegates serves itrsquos membership I strongly encourage you to contact myself directly or any of the FPA House of Delegates Board of Di-rectors Any one of us will be happy to get you involved and excited about this group and share with you how ev-ery resolution directly impacts the direction of the associ-ation and you its member

The FPA Board of Directors of the House of Delegates is made up of the following faithful memberssuzanne Kelly ndash Chair of the House of Delegates Board

of DirectorsAlexander Pytlarz ndash speaker of the House of DelegatesWilliam Riffee ndash Vice-speakershannon Zandy ndash DirectorCaridad Ferree ndash DirectorJosh Fields ndash Director Karen Whalen ndash FPA PresidentHumberto Martinez ndash FPA President-electMichael A Mone ndash ParliamentarianMichael A Jackson ndash FPA executive Vice President amp

Ceoon behalf of the House Board of Directors Irsquod like to

welcome the newest members of the House Board of Di-

rectors Dean William Riffee Vice-speaker and Caridad Ferree Director were elected at this years FPA Annual Meeting We look forward to their involvement

The House also had the privilege of introducing two new invited organizations to the House They are nige-rian Pharmacists Association and Florida Independent Pharmacy network

If any member represents an organization that wants to be involved in the House of Delegates please contact me directly I will be happy to work with you and your or-ganization so you are represented within the House and have your voice heard by all FPA members

At this past yearrsquos meeting the House reviewed eight submitted resolutions Below is a summary of the actions of the each resolution that the House took and to what committee the adopted resolutions were referred to by your President Karen Whalen Please review these reso-lutions as they will impact the policies and direction of our association If you have any comments or questions please feel free to contact me or any member of the House Board As always itrsquos never too early to start thinking about possible resolutions for next years House

Thank you for the opportunity to serve you and the Florida Pharmacy Association

Best regards

Alexander Pytlarz2009-2010 speaker of the House of Delegates

RESOLUTION 1

Pharmacy Manager in Charge Man-date rule changes for the State require to be on-site 24 hr perweekBroward County Pharmacist Associa-tion

Whereas There is no statutory or rule requirement for a Manager in Charge to be present in the Pharmacy

Whereas over the last few years in-ternet practices and non-pharmacist owned pharmacies have flourished in practice settings that were poorly su-pervised

Be it Resolved that the FPA propose that the Florida Pharmacy Board pro-mulgate rules which safeguard the public by having a Responsible par-ty (Pharmacy Manager of Record) on

premises 24 hrs per given week

Contact Broward County Pharmacist AssocDaniel P sweet RPhPast President Board Member954-232-8202

Intent To protect the public from non-pharmacist owners to influence the practice of pharmacy by placing a phar-

20 | f L O r i d a p h a r m a C y T O d a y

macist on record without reviewing the day to day operations of Pharmacy Practice and its Rules and statues

Resolution not Adopted

Respectfully submitted

Broward County Pharmacist Associa-tion

RESOLUTION 2

Repeal 40 hr Rule for Community Pharmacy PermitBroward County Pharmacist Associa-tion

Whereas the Practice of Pharmacy is evolving to an Information Profession where pharmacists will be reviewing medication therapy

Whereas in populated areas there are multiple pharmacies in a compact radi-us

Be it Resolved that the Florida Board of Pharmacy act in repealing the 40 hr rule for Community Pharmacy Permit withstanding that there is a pharmacy within 5 miles with extended hours or a 24 hr pharmacy within 2 miles

Contact Daniel P sweet RPhPast President Board Member Broward County Pharmacist Assoc954-232-8202

Intent With Pharmacy Practice evolv-ing with more Pharmacists are going to use there education to create office type practice The Pharmacist will need to be off-site to review medications and council patients on the use of their medication

Respectfully submittedBroward County Pharmacist Associa-tion

Motion to amendAmendment passedspeaker unable to determine the posi-

tion of the House on voice votestanding vote called for by the House speakerResolution adopted on standing vote

RESOLUTION 3

Physician Dispensing ndash Limiting Scope as Pertains to Controlled Sub-stancesBroward County Pharmacists Associa-tion

Whereas a significant problem regard-ing the misuse of controlled substances in our state has been identified and

Whereas the checks and balances that the pharmacist brings to the equation of reducing the potential for misuse of controlled substances due to conflicts of interest is circumvented in the phy-sician dispensing model

Be it Resolved that the FPA seek legis-lative changes to limit the in-office dis-pensing of controlled substances up to and not more than a three (3) day sup-ply Contact Broward County Pharmacists AssociationDaniel P sweet RPhPast President Board Member954-232-8202

Motion to amend the phrase ldquowork with the respective BoardsrdquoAmendment is adoptedMotion to amend by adding the words ldquouprdquo and the words ldquoand not more thanrdquo to the first sentenceMotion to amend passesMotion to amend by striking the last sentence of the resolveMotion to amend passesResolution Adopted

Intent With the advent of Pain Man-agement Clinics with Dispensaries Pa-tient safety and control is lost by not having a Pharmacist oversee the pa-tientsrsquo therapeutic management with-in the guidelines of the FDA and Con-trolled substance Abuse Act

RESOLUTION 4

Pharmacy Service TaxBroward County Pharmacists Associa-tion

Whereas Pharmacy has assumed the burden of absorbing the costs associat-ed with receiving and sending data to all sources

Whereas these costs continue to grow and are not associated with the cost of the product or filling fee received then

Be it Resolved that the FPA work with the proper legislative process for the state to create a TAX for prescriptions to cover all communication costs inher-ent in Rx processing for e-prescribing communications to PBMrsquos and data re-porting costs for handling in-state re-porting of Controlled substances

Be it Further Resolved that the col-lected tax be used only for Pharmacy Claims Administrative Costs in han-dling the claims and bear no economic andor administrative burdens on the pharmacy

Resolution not Adopted

Contact Broward County Pharmacists AssociationDaniel P sweet RPhPast President Board Member954-232-8202

Intent With greater dependency on data network and associated costs to all pharmacies we have been placed in a pinch With the state controlling the process we gain on many fronts First no back-end costs on any Rx claim next the state can legally charge PBMrsquos un-der contract and will be responsible for collecting the tax and lastly the state can use their collective bargain-ing power to reduce the costs associat-ed with data transmission

Respectfully submitted

Broward County Pharmacists Associa-tion

O C T O B e r 2 0 0 9 | 21

RESOLUTION 5

RPh Not a Degree Designationleon County Pharmacy Association

WHEREAS pharmacists with a PharmD degree very proudly and rightfully use their degree designation of PharmD with their name and

WHEREAS pharmacists with a BsP degree generally use RPh with their name and

WHEREAS the designation of RPh for Registered Pharmacist is not a degree designation and was enacted into the original Florida Pharmacy Practice Act of 1889 The current practice act defines a pharmacist as a licensed Pharmacist lPh

THEREFORE the leon County Phar-macy Association moves that the FPA promote the use of the BPharm desig-nation for the BsP degree in place of the RPh designation which no longer is ref-erenced in the Florida Pharmacy Prac-tice Act

Motion to amendMotion to amend failsResolution Adopted

Contact persons Michael A Jackson- (850) 222- 2400Jim Powers- (850) 422- 0079

Background The resolution pretty well speaks for itself however it should be noted that in most national pharmacy publications pharmacists with a BsP degree are using the BPharm designa-tion behind their names In research-ing Dr Gene Gramlingrsquos book ldquoA His-tory of Pharmacy in Floridardquo it has the Florida Pharmacy Practice Act of 1889 which reads as follows section 4 Be it further enacted that the Board of Phar-macy shall register in a suitable book the names and places of residence of all persons to whom they issue certifi-cates and dates thereof It shall be the duty of said Board of Pharmacy to reg-ister without examination as registered pharmacists all pharmacists and drug-gists who are engaged in business in

the state of Florida at the passage of this act as owners or principals of stores or pharmacies In any village town or city of more than 200 inhabitants helliprdquo

RESOLUTION 6

Long Term Care regulatory frame-workFlorida Chapter of American society of Consultant Pharmacist

Whereas the Florida regulatory frame-work for long-term care pharmacy should be reviewed periodically to en-sure that it is consistent with current practice the FPA legislative commit-tee resolves to coordinate with the Flor-ida Chapter of the American society of Consultant Pharmacists to review the current regulatory framework for long-Term Care pharmacy in Florida

Resolved that the FPA legislative Committee coordinate with the Flori-da Chapter of the American society of Consultant Pharmacists to review the current regulatory framework for long-Term Care Pharmacy in Florida

Resolve substituted by the sponsor and accepted by the House substitute Resolution Adopted

Contact name and Phone stephen J Grabowski (727) 945-0760

Problem As the number of our nationrsquos seniors has grown so to have the de-mands and challenges placed upon the pharmacists serving those seniors who live in long-term care facilities since the practice of pharmacy has evolved over the years with increased workload demands changing roles of pharmacy technicians and new technologies so too have the regulatory guidelines and oversight responsibilities of the state boards

Intent not only will the practice of pharmacy need to adapt to the needs of seniors in long-term care facilities but state board of pharmacies and phar-macists under their preview must un-

derstand the impact of these changes Pharmacists practicing in long-term care must collaborate with state boards of pharmacy to update practice acts to ensure the protection of the health safety and welfare of the public

RESOLUTION 7

Evaluation of the ldquoPedigree Docu-mentation Programrdquo as stated in Flor-ida Statue 499Alachua County Association of Phar-macists

Whereas Florida statue 499 states that its purpose is to safeguard the public health and promote the public welfare by protecting the public from injury by product use and by merchandising de-ceit involving drugs devices and cos-metics

Whereas Pharmacies Pharmacists Pharmacy Wholesalers Pharmaceuti-cal Manufacturers and Pharmacy Re-packagers are all an integral part of this program

Whereas there is financial costs associ-ated with this program

Whereas there are penalties associated with this program

RESOLVED - The FPA request the Agency for Health Care Administra-tion to evaluate the ldquoPedigree Docu-mentation Programrdquo (49901212) to de-termine effectiveness and identification of improvements in the program for the protection of the public safety

Problem - The state of Florida enact-ed the ldquoPedigree Documentation Pro-gramrdquo (49901212) to keep adulterated and misbranded pharmaceuticals from consumers

Intent - To determine the effectiveness of the ldquoPedigree Documentation Pro-gramrdquo in achieving its purpose

Resolution Adopted

22 | f L O r i d a p h a r m a C y T O d a y

sion forward Please join us in Talla-hassee next March

FPA Legislative Key Contact Network

The FPA legislative Committee would like to match up at least one pharmacist with every key legisla-tor in the state If you currently have a relationship with one of your state legislators or if you are willing to take the steps listed above to be one of our grassroots advocates we want to know sign up to be a member of our Key legislative Contacts If you can help please let us know by con-tacting any member of the legisla-tive Committee listed below or you may contact me directly at klwizcomcastnet

lastly your legislative Commit-tee deserves a BIG ldquoThank Yourdquo for their time and effort These mem-bers have stepped up to help our profession grow and prosper Fol-lowing is a list of the members of the 2009-2010 FPA legislative Commit-teeDavid AndrewsDon BergemannGary DalinMitchell FingerhutAmy FerrolRamy GabrielMark HobbsMichael JacksonHumberto MartinezMark PercifieldManny PrieguezAlexander PytlarzTeysha RichardsonWilliam RiffeeTheresa Tollenorman TomakaAmanda Waltemathlori WeemsKaren WhalenRobert WilburChristine Yocum

Ken Wisniewski2009-2010 legislative Committee Chair

Viewpoint continued from page 5Respectfully submitted

Alachua County Association of Phar-macists

RESOLUTION 8

Continuous quality Improvement Program-Program EvaluationAlachua County Association of Phar-macists

Whereas the CQI Program is a system of standards and procedures to identify and evaluate quality-related events and improve patient care

Whereas some of the main goals of FPA and the Board of Pharmacy is to improve patient care and safety

Whereas an evaluation of the CQI Pro-gram may identify improvements that could be incorporated into the pro-gram

Whereas information about patient safety practices obtained from the pro-gram evaluation would be helpful if shared with the pharmacists of Florida and the nation

Resolved that the FPA request the Flor-ida Board of Pharmacy to conduct a Program evaluation of the Continuous Quality Improvement Program (64B16-27300)

Problem- since the enactment of 64B16-27300 Continuous Quality Improve-ment (CQI) Program there has not been a program evaluation

Intent- The evaluation of the CQI Pro-gram for effectiveness

Respectfully submittedAlachua County Association of Phar-macists

Resolution Adopted

JOIN TODAY

Florida Pharmacy Association

O C T O B e r 2 0 0 9 | 23

RESOLUTION 1Pharmacy Manager in Charge Man-date rule changes for the State require to be on-site 24 hr perweekBroward County Pharmacist Associa-tion Whereas There is no statutory or rule requirement for a Manager in Charge to be present in the PharmacyWhereas over the last few years in-ternet practices and non-pharmacist owned pharmacies have flourished in practice settings that were poorly su-pervisedBe it Resolved that the FPA propose that the Florida Pharmacy Board pro-mulgate rules which safeguard the public by having a Responsible par-ty (Pharmacy Manager of Record) on premises 24 hrs per given weekContact Broward County Pharmacist AssocDaniel P sweet RPhPast President Board Member954-232-8202Intent To protect the public from non-pharmacist owners to influence the practice of pharmacy by placing a phar-macist on record without reviewing the day to day operations of Pharmacy Practice and its Rules and statuesResolution Not AdoptedRespectfully SubmittedBroward County Pharmacist Associa-tion

RESOLUTION 2

Repeal 40 hr Rule for Community Pharmacy PermitBroward County Pharmacist Associa-tion Whereas the Practice of Pharmacy is evolving to an Information Profession where pharmacists will be reviewing medication therapyWhereas in populated areas there are multiple pharmacies in a compact radi-usBe it Resolved that the Florida Board of Pharmacy act in repealing the 40 hr rule for Community Pharmacy Permit withstanding that there is a pharmacy within 5 miles with extended hours or a 24 hr pharmacy within 2 milesContact

Daniel P sweet RPhPast President Board Member Broward County Pharmacist Assoc954-232-8202 Intent With Pharmacy Practice evolv-ing with more Pharmacists are going to use there education to create office type practice The Pharmacist will need to be off-site to review medications and council patients on the use of their medicationRespectfully SubmittedBroward County Pharmacist Associa-tion Motion to amendAmendment passedSpeaker unable to determine the posi-tion of the House on voice voteStanding vote called for by the House SpeakerResolution adopted on standing vote

RESOLUTION 3

Physician Dispensing ndash Limiting Scope as Pertains to Controlled Sub-stancesBroward County Pharmacists Associa-tionWhereas a significant problem regard-ing the misuse of controlled substances in our state has been identified andWhereas the checks and balances that the pharmacist brings to the equation of reducing the potential for misuse of controlled substances due to conflicts of interest is circumvented in the phy-sician dispensing model Be it Resolved that the FPA seek legis-lative changes to limit the in-office dis-pensing of controlled substances up to and not more than a three (3) day sup-ply Contact Broward County Pharmacists Associa-tionDaniel P sweet RPhPast President Board Member954-232-8202Motion to amend the phrase ldquowork with the respective BoardsrdquoAmendment is adoptedMotion to amend by adding the words ldquouprdquo and the words ldquoand not more thanrdquo to the first sentenceMotion to amend passes

Motion to amend by striking the last sentence of the resolveMotion to amend passesResolution AdoptedIntent With the advent of Pain Man-agement Clinics with Dispensaries Pa-tient safety and control is lost by not having a Pharmacist oversee the pa-tientsrsquo therapeutic management with-in the guidelines of the FDA and Con-trolled substance Abuse Act

RESOLUTION 4

Pharmacy Service TaxBroward County Pharmacists Associa-tionWhereas Pharmacy has assumed the burden of absorbing the costs associat-ed with receiving and sending data to all sourcesWhereas these costs continue to grow and are not associated with the cost of the product or filling fee received thenBe it Resolved that the FPA work with the proper legislative process for the state to create a TAX for prescriptions to cover all communication costs inher-ent in Rx processing for e-prescribing communications to PBMrsquos and data re-porting costs for handling in-state re-porting of Controlled substancesBe it Further Resolved that the col-lected tax be used only for Pharmacy Claims Administrative Costs in han-dling the claims and bear no economic andor administrative burdens on the pharmacyResolution Not AdoptedContact Broward County Pharmacists Associa-tionDaniel P sweet RPhPast President Board Member954-232-8202Intent With greater dependency on data network and associated costs to all pharmacies we have been placed in a pinch With the state controlling the process we gain on many fronts First no back-end costs on any Rx claim next the state can legally charge PBMrsquos un-der contract and will be responsible for collecting the tax and lastly the state can use their collective bargain-ing power to reduce the costs associat-

EmailFax Network HotlineReceive up-to-date and up-to-the-min-ute information on legislative Develop-ments Board of Pharmacy changes and other topics affecting the profession of pharmacy Call FPA Member services at (850) 222-2400 ext 110 ndash rsimmonspharmviewcom

Tax ResourceProvides defense and protection of your assets when you are audited Tax Resource will defend their clients for any income tax audit Federal or state for any tax year Tax Resource pio-neered the tax audit service business and is the largest audit defense firm in the United states Call (800) 92-AUDIT (800-922-8348)

Atlantic Coupon Redemption Center Receive payment in 25 working days of couponrsquos face value plus a rebate of 16 cents based on store volume Call Meredith McCord (800) 223-0398

Florida Commerce Federal Credit Union The chief objective of a credit union is not generating profits for stockholders but to provide service to its member The members benefit by getting attrac-tive returns on savings loans made at fair rates of interest plus enhanced and expanded services This is probably one of the best deals around Call (850) 488-0035

Collection Services For past due accounts call I C system Inc Call (800) 328-9595

Other Member Benefits n Discounted Continuing education

Programsn Monthly Issues of the Florida Phar-

macy Today Journal

ITC Deltacom offering FPA members exclusive associa-tion discounts on telecommunication ser-vices including local services long dis-tance data networks telephone systems and dedicated internet access Call 850-701-3200 or visit wwwitcdeltacomcom

Pharmacy Resource Materials FPA provides the most recent and rele-vant resources necessary to meet your professional needs This includes the Continuous Quality Improvement Manu-al Controlled substance Inventory Book-lets and Pharmacy signs Please call FPA Members services for more information 850-222-2400 ext 110

FPA Website Visit our FPA Website at wwpharmviewcom The site launched in December 2004 and revised in october 2008 includes a members only section The website of-fers a secure server so that you can reg-isters for Ce programs renew your mem-bership or purchase resources materials with your credit card

in keeping with a tradition of offering our members real benefits the Florida Pharmacy association (FPa) is proud to announce the introduction of sponsored discount Benefits Program these vendors are dedicated to providing an excellent value to all FPa members and associates to take advantage of benefits contact the vendors directly at the numbers listed below and identify yourself as a FPa member and have your membership id number handy

MEMBERSHIP MATTERS

Florida Pharmacy Association

24 | f L O r i d a p h a r m a C y T O d a y

Wyeth Bowl of Hygeia

Awarded to a pharmacist for out-standing community service above and beyond professional duties The use of the following selection criteria is re-quired

The recipient must be a Florida li- n

censed pharmacist and a member of FPAThe recipient must be living Awards n

are not presented posthumouslyThe recipient has not previously re- n

ceived the awardThe recipient is not currently serving n

nor has heshe served within the immediate past 2 years on its award committee or an officer of the asso-ciation in other than an ex officio ca-pacityThe recipient has compiled an out- n

standing record of community ser-vice which apart from hisher spe-cific identification as a pharmacist reflects well on the profession

James H Beal Award

Awarded to the Pharmacist of the Year The criteria established for this award is that the recipient be a Flori-da registered pharmacist and a mem-ber of FPA who has rendered outstand-ing service to pharmacy within the past five yearsCriteria

The recipient must be a Florida reg- n

istered pharmacist and a member of the FPAThe recipient has rendered outstand- n

ing service to pharmacy within the past five years

Technician of the Year AwardAwarded annually to a Florida

pharmacy technician who is recog-nized for hisher outstanding perfor-mance and achievement during hisher career

Criteria

Candidate must be a member of n

the Florida Pharmacy Association for at least 2 yearsCandidate must have demonstrat- n

ed contributions and dedication to the advancement of pharmacy technician practiceCandidate must have demonstrat- n

ed contributions to the Florida Pharmacy Association andor oth-er pharmacy organizationsCandidate must have demonstrat- n

ed commitment to community ser-viceCandidate is not a past recipient of n

this award

RQ Richards Award

This award is based on outstanding achievement in the field of pharmaceu-tical public relations in FloridaCriteria

The recipient must be a Florida reg- n

istered pharmacist and a member of the FPAThe recipient has displayed out- n

standing achievement in the field of pharmaceutical public relations in Florida

Frank TobackAZO Consultant

Pharmacist Award

CriteriaCandidate must be an FPA member n

registered with the Florida Board of Pharmacy as a consultant pharma-cist in good standingCandidate should be selected based n

on their outstanding achievements in the field of consultant pharmacy

DCPA Sidney Simkowitz

Pharmacy Involvement Award

Presented annually to a Florida pharmacist who has been active at the local and state pharmacy association level in advancement of the profes-sion of pharmacy in Florida

CriteriaA minimum of five years of active n

involvement in and contributions to the local association and FPACandidate must have held office at n

local level pharmacy associationMember in good standing for a pe- n

riod of at least five years in the FPA and must have served as a member or chairman of a committee of the associationCandidate must have been active- n

ly involved in a project that has or could potentially be of benefit to members of the profession

Pharmacists Mutual Companies

Distinguished Young Pharmacist

Award

Awarded to a young pharmacist for their involvement and dedication to the practice of pharmacyCriteria

licensed to practice for nine (9) years n

or lesslicensed to practice in the state in n

which selectedParticipation in national pharmacy n

association professional programs andor community service

IPA Roman Maximo Corrons

Inspiration amp Motivation Award

Interamerican Pharmacists Association created this award to honor the memo-ry of Roman M Corrons who inspired and motivated countless pharmacists to participate actively and aspire to take on leadership roles in their profession Roman was always there with guidance and support that motivated pharma-cists and encouraged visionary leader-ship approachable active membership and succession planning This award recognizes the motivators among us who inspire others to continue to ad-vance the professionCriteria

C a L L f O r N O m i N a T i O N s F P A A W A R D S 2 0 0 9 - 2 0 1 0

O C T O B e r 2 0 0 9 | 25

DEADLINE FOR NOMINATIONS FEBRUARY 28 2010

The recipient must be a Florida li- n

censed Pharmacist and a member of the FPACandidate should motivate others n

to excel within the profession by en-couraging them to be leadersCandidate is not necessarily an as- n

sociation officer but guides sup-ports andor inspires others

A brief description on the candidatersquos motivationalinspirational skills must accompany the nomination

The Jean Lamberti

Mentorship Award

The Jean lamberti Mentorship Award was established in 1998 to hon-or those pharmacists who have taken time to share their knowledge and ex-

perience with pharmacist candidates The award is named in honor of long time FPA member Jean lamberti for her effort in working with pharmacy studentsCriteria

The recipient must be an FPA mem- n

berThe recipient must serve as a role n

model for the profession of pharmacy

Innovative Pharmacy Practice

Award

Awarded to honor practicing phar-macists who have demonstrated inno-vation in pharmacy practice that has resulted in improved patient careCriteria

The recipient has demonstrated inno- n

vative pharmacy practice resulting in improved patient careThe recipient should be a practic- n

ing pharmacist within the geograph-ic area represented by the presenting Association

Qualified nominee A pharmacist prac-ticing within the geographic area repre-sented by the presenting Association

I AM PLEASED TO SUBMIT THE FOLLOWING NOMINATION

Name

Address

FOR THE FOLLOWING AWARD

(Nomination Deadline February 28 2009)

Wyeth Bowl of Hygeia Award

James H Beal Award

RQ Richards Award

Frank TobackAZO Consultant Pharmacist Award

DCPA Sydney Simkowitz Award

Pharmacists Mutual Co Distinguished Young Pharmacist Award

Academy of Pharmacy Practice Practitioner Merit Award

The Jean Lamberti Mentorship Award

IPA Roman Maximo Corrons Inspiration amp Motivation Award

Innovative Pharmacy Practice Award

Technician of the Year Award

NOMINATED BY

Name

Date Submitted

Signature

Please describe briefly below the nominees accomplishments indicating why you feel he or she should receive this award (Attach additional sheets if necessary)

C a L L f O r N O m i N a T i O N s F P A A W A R D S 2 0 0 9 - 2 0 1 0

F P A A W A R D S N O M I N A T I O N F O R M

mail nominatons to annual awards Florida Pharmacy association 610 n adams st tallahassee Fl 32301(850) 222-2400 FaX (850) 561-6758 dEadlinE For nominations is FEBrUary 28 2010

26 | f L O r i d a p h a r m a C y T O d a y

CALL FOR RESOLUTIONS TO THE 2010 HOUSE OF DELEGATES

The House of Delegates Board of Directors will meet in March 2010 to review and approve resolu-tions for the Annual Meeting The deadline for submitting resolutions is March 15 2010 PleAse noTe THIs DeADlIne

The following information will be needed when submitting resolutions

1 name of organization The name of the organization submitting the resolutions(s)2 name and telephone number of individuals A contact in the event clarification or further in-

formation is needed 3 Problem A statement of the problem addressed by the resolution4 Intent A statement of what passage of the resolution will accomplish5 Resolution Format (please type and use double spacing)

TiTle of ResoluTion

name of oRganizaTion

WheReas and

WheReas

TheRefoRe be iT

Resolved (ThaT The fPa oR subdivision of fPa)

ConTaCT name and Phone

PRoblem

inTenT

Page 13: October 2009 Florida Pharmacy Journal

O C T O B e r 2 0 0 9 | 13

creases5 officials will make these decisions to protect pub-lic health but they will affect your businessrsquos functioning es-pecially affecting absenteeism Plan now to determine how you will operate if absenteeism spikes from increases in sick workers those who stay home to care for ill family members and those who must stay home to watch their children if dis-missed from school Businesses and other employers should prepare to institute flexible workplace and leave policies for these workers

Actions Employers Should Take NowReview or establish a flexible influenza pandemic plan n

and involve your employees in developing and reviewing your planConduct a focused discussion or exercise using your plan n

to find out ahead of time whether the plan has gaps or problems that need to be corrected before flu seasonHave an understanding of your organizationrsquos normal n

seasonal absenteeism rates and know how to monitor your personnel for any unusual increases in absenteeism through the fall and winterengage state and local health department to confirm n

channels of communication and methods for dissemina-tion of local outbreak informationAllow sick workers to stay home without fear of losing n

their jobsDevelop other flexible leave policies to allow workers to n

stay home to care for sick family members or for children if schools dismiss students or child care programs closeshare your influenza pandemic plan with employees and n

explain what human resources policies workplace and leave flexibilities and pay and benefits will be available to themshare best practices with other businesses in your com- n

munities (especially those in your supply chain) cham-bers of commerce and associations to improve communi-ty response efforts andAdd a ldquowidgetrdquo or ldquobuttonrdquo to your company Web page n

or employee Web sites so employees can access the lat-est information on influenza wwwcdcgovwidgets and wwwcdcgovsocialMediaCampaignsH1n1buttonshtml

Important Components of an Influenza Pandemic Plan

Be prepared to implement multiple measures to protect n

workers and ensure business continuity A layered ap-proach will likely work better than using just one mea-sureIdentify possible work-related exposure and health risks n

to your employees The occupational safety and Health Administration (osHA) has developed tools to determine if your employees are at risk of work-related exposures and if so how to respond (see wwwoshagovdsgtopics

I n d e p e n d e n t hellip B u t N o t A l o n e P P S C i s Y o u r P a r t n e r f o r S u c c e s s

WorkSmarter

PPSC can help your independent pharmacy become more efficient and productive through its innovative Work Smarter programs and services

PPSC can help youENHANCE operational workflowsAUTOMATE dispensing product

returns and Part B billingREDUCE claim resubmissionsINCREASE your profits

For more on how PPSC can maximize the potential of your independent pharmacy visit wwwppsconlinecom or call toll-free 888-778-9909

14 | f L O r i d a p h a r m a C y T O d a y

City of Tallahassee Declares October as American Pharmacists Month

Tallahassee Mayor John Marks has declared october as American Pharmacist Month In a procla-mation signed on october 1 2009 Mayor Marks urged all citizens to acknowledge the valuable servic-es of pharmacists to provide safe affordable and beneficial pharma-ceutical care services and prod-ucts to all citizens

The Florida Pharmacy Associa-tion wish to thank our FAMU in-tern Carina Davison for her work with the City of Tallahassee dur-ing her rotation here at the FPA of-fice

FROM THE GOVERNING BODY OFTHE CITY OF TALLAHASSEE

PROCLAMATIONWhereas pharmacy is one of the oldest of the health professions con-cerned with the health and well-being of all people andWhereas today there are over 254000 pharmacists practicing in the United States and over 400 pharmacists licensed in the city of Tallahassee providing services to assure the rational and safe use of all medications andWhereas the use of medication as a cost-effective alternative to more expensive medical procedures is becoming a major force in moderating overall health care costs andWhereas todays powerful medications require greater attention to the manner in which they are used by different patient population groups -both clinically and demographically andWhereas it is important that all users of prescription and nonprescrip-tion medications or their caregivers be knowledgeable about and share responsibility for their own drug therapy andWhereas the American Pharmacists Association and the Florida Phar-macy Association have declared October as American Pharmacists Month with the theme Know Your Medicines - Know Your Pharmacist

Now therefore be it resolved that I John Marks do hereby proclaim October as

American Pharmacists Month

in the city of Tallahassee and urge all our citizens to acknowledge the valuable services of pharmacists to provide safe affordable and beneficial pharmaceutical care services and products to all citizens

O C T O B e r 2 0 0 9 | 15

pandemicfluindexhtml)Review human resources policies to make sure that poli- n

cies and practices are consistent with public health rec-ommendations and are consistent with existing state and federal workplace laws (for more information on employ-er responsibilities employers should visit the Department of laborrsquos and the equal employment opportunity Com-missionrsquos websites at wwwdolgov and wwweeocgov)Allow employees to stay home if they are ill have to care n

for ill family members or must watch their children if schools or childcare facilities closeexplore whether you can establish policies and practices n

such as flexible worksites (eg telecommuting) and flex-ible work hours (eg staggered shifts) when possible to increased the physical distance among employees and be-tween employees and others if local public health author-ities recommend the use of social distancing strategies ensure that you have the information technology and in-frastructure needed to support multiple workers who may be able to work from homeIdentify essential business functions essential jobs or n

roles and critical elements within your supply chains (eg raw materials suppliers subcontractor servicesproducts and logistics) required to maintain business op-erations Plan for how your business will operate if there is increasing absenteeism or these supply chains are inter-ruptedset up authorities triggers and procedures for activat- n

ing and terminating the companyrsquos response plan alter-ing business operations (eg possibly changing or closing operations in affected areas) and transferring business knowledge to key employees Work closely with your lo-cal health officials to identify these triggersPlan to minimize exposure to fellow employees or the n

public if public health officials call for social distancingestablish a process to communicate information to work- n

ers and business partners on your 2009 H1n1 influenza response plans and latest 2009 H1n1 influenza informa-tion Anticipate employee fear anxiety rumors and mis-information and plan communications accordingly

over the past several years HHs CDC DHs osHA eeoC and other federal partners have developed guidelines including checklists to assist businesses industries and oth-er employers in planning for a pandemic outbreak Review these resources to assist in your planning efforts wwwflugovplanworkplaceplanningindexhtml

The recommendations that follow provide guidance on how employers can develop strategies and respond to two levels of severity local conditions will influence the deci-sions that public health officials make regarding community-level strategies employers should take the time now to learn about plans in place in each community where they have a presence

Recommended Employer Responses for the 2009-2010 Flu SeasonRecommended Action Steps under Current Flu Conditions (similar severity as in SpringSummer 2009)

If the severity of illness in the fall and winter is similar to that observed in the spring and summer of 2009 the effects of 2009 H1n1 influenza may not have substantial impacts on absenteeism though some increase in absenteeism over the spring season is anticipated When larger numbers of people become ill correspondingly larger numbers of people will be-come seriously ill and may require hospitalization

SICK PERSONS SHOuLD STAY HOMEAdvise workers to be alert to any signs of fever and any n

other signs of influenza-like illness6 before reporting to work each day and notify their supervisor and stay home if they are ill employees who are ill should not travel while they are illCDC recommends that employees with influenza-like ill- n

ness remain at home until at least 24 hours after they are free of fever (100deg F [378deg C] or greater) or signs of a fever without the use of fever-reducing medicationsexpect sick employees to be out for about 3 to 5 days in n

most cases even if antiviral medications are usedensure that your sick leave policies are flexible and con- n

sistent with public health guidance and that employees are well aware of these policiesTalk with companies that provide your company with n

contract or temporary workers about the importance of sick workers staying home and encourage them to devel-op non-punitive leave policiesDo not require a doctorrsquos note for workers who are ill with n

influenza-like illness to validate their illness or to return to work as doctorrsquos offices and medical facilities may be extremely busy and may not be able to provide such doc-umentation in a timely way employees who are well but who have an ill family mem- n

ber at home with influenza can go to work as usual How-ever these employees should monitor their health every day and notify their supervisor and stay home if they be-come ill employers should maintain flexible policies that permit employees to stay home to care for an ill family member employers should be aware that more workers may need to stay at home to care for ill children or other ill family members than is usual

SICK EMPLOYEES AT WORK SHOuLD BE ASKED TO gO HOME

CDC recommends that workers who appear to have an n

influenza-like illness upon arrival or become ill during the day be promptly separated from other workers and be advised to go home until at least 24 hours after they are free of fever (100deg F [378deg C] or greater) or signs of a fever without the use of fever-reducing medications Those who become ill with symptoms of an influenza-like n

illness during the work day should be

16 | f L O r i d a p h a r m a C y T O d a y

o separated from other workers and asked to go home promptly (For recommendations on personal protec-tive equipment for a person assisting the ill employee see Interim Recommendations for Facemask and Res-pirator Use to Reduce novel Influenza A (H1n1) Vi-rus Transmission httpwwwcdcgovh1n1flumaskshtm)

o When possible and if they can tolerate it workers with influenza-like illness should be given a surgical mask to wear before they go home if they cannot be placed in an area away from others

If an employee becomes ill at work inform fellow employ- n

ees of their possible exposure in the workplace to influen-za-like illness but maintain confidentiality as required by the Americans with Disabilities Act (ADA) For more in-formation on privacy issues please refer to httpwwwflugovfaqworkplace_questionsequal_employmentin-dexhtmlPrivacyIssues employees exposed to a sick co-worker should monitor themselves for symptoms of influ-enza-like illness and stay home if they are sick

COVER COugHS AND SNEEzESInfluenza viruses are thought to spread mainly from per- n

son to person in respiratory droplets of coughs and sneez-es Provide employee messages on the importance of cov-ering coughs and sneezes with a tissue or in the absence of a tissue onersquos sleeve Place posters in the worksite that encourages cough and sneeze etiquetteProvide tissues and no-touch disposal receptacles for use n

by employees

IMPROVE HAND HYgIENEInfluenza may be spread via contaminated hands In- n

struct employees to wash their hands often with soap and water or use an alcohol-based hand cleaner especially af-ter coughing or sneezing Place posters in the worksite that encourage hand hygieneProvide soap and water and alcohol-based hand sanitiz- n

ers in the workplace ensure that adequate supplies are maintained If feasible place hand sanitizers in multiple locations or in conference rooms to encourage hand hy-giene

CLEAN SuRFACES AND ITEMS THAT ARE MORE LIKELY TO HAVE FREquENT HAND CONTACT

Frequently clean all commonly touched surfaces in the n

workplace such as workstations countertops and door-knobs Use the cleaning agents that are usually used in these areas and follow the directions on the labelno additional disinfection beyond routine cleaning is rec- n

ommendedENCOuRAgE EMPLOYEES TO gET VACCINATED

encourage your employees to get vaccinated for seasonal n

influenza For information on groups prioritized for sea-sonal influenza vaccines please see httpwwwcdcgovfluprotectkeyfactshtm encourage your employees also to get vaccinated for 2009 n

H1n1 influenza when vaccines are available to them Dif-ferent groups are prioritized for 2009 H1n1 influenza than for seasonal influenza For information on groups prioritized for H1n1 influenza vaccine please see httpwwwcdcgovh1n1fluvaccinationaciphtm offer opportunities at your worksite for influenza vacci- n

nation Consider granting employees time off from work to get vaccinated if not offered at the worksiteReview the health benefits you offer employees and work n

with insurers to explore if they can cover the costs of in-fluenza vaccination

TAKE MEASuRES TO PROTECT EMPLOYEES WHO ARE AT HIgHER RISK FOR COMPLICATIONS OF INFLuENzA

People at higher risk for complications from influenza in- n

clude pregnant women children under 5 years of age adults and children who have chronic lung disease (such as asthma) heart disease diabetes diseases that suppress the immune system and other chronic medical conditions and those who are 65 years or older7 Inform employees that some people are at higher risk of n

complications from influenza and that if they are at high-er risk for complications they should check with their health care provider if they become ill early treatment with antiviral medications is very important for people at high risk because it can prevent hospitalizations and deathsencourage employees recommended for seasonal influ- n

enza vaccine and 2009 H1n1 vaccines to get vaccinated as soon as these vaccines are available For information on groups prioritized for seasonal and H1n1 vaccines please see httpwwwcdcgovfluprotectkeyfactshtm and httpwwwcdcgovh1n1fluvaccinationaciphtmemployees who become ill and are at increased risk of n

complications from influenza and ill employees who are concerned about their illness should call their health care provider for advice Their health care provider might want them to take antiviral medications to reduce the likelihood of severe complications from the influenzasee n httpwwwcdcgovh1n1fluqahtm for more infor-mation

PREPARE FOR INCREASED NuMBERS OF EMPLOYEE ABSENCES DuE TO ILLNESS IN EMPLOYEES AND THEIR FAMILY MEMBERS AND PLAN WAYS FOR ESSENTIAL BuSINESS FuNCTIONS TO CONTINuE

employers should plan to monitor and respond to ab- n

senteeism at the workplace Implement plans to contin-ue your essential functions in case you experience high-er than usual absenteeism elevated absentee rates can be due to sick workers those who need to stay home and care for others or from workers with conditions that make them at higher risk for complications from influen-za and who may be worried about coming to work Cross-train personnel to perform essential functions so n

that the workplace is able to operate even if key staff are absent

O C T O B e r 2 0 0 9 | 17

Assess your essential functions and the reliance that oth- n

ers and the community have on your services or products Be prepared to change your business practices if need-ed to maintain critical operations (eg identify alternative suppliers prioritize customers or temporarily suspend some of your operations if needed)

ADVISE EMPLOYEES BEFORE TRAVELINg TO TAKE CERTAIN STEPS

Advise workers to check themselves for fever and any n

other signs of influenza-like illness before starting travel and notify their supervisor and stay home if they are illAdvise employees who will be traveling or on temporary n

assignment about precautions they may need to take to protect their health and who to call if they become illemployees who become ill while traveling and are at in- n

creased risk of complications from influenza and oth-ers concerned about their illness should promptly call a health care provider for adviceensure employees who become ill while traveling or on n

temporary assignment understand that they should noti-fy their supervisor If outside the United states ill employees should fol- n

low your companyrsquos policy for obtaining medical care or contact a health care provider or overseas medical assis-tance company to assist them with finding an appropriate health care provider in that country if needed A Us con-sular officer can help locate health care services However Us embassies consulates and military facilities do not have the legal authority capability and resources to evac-uate or give medications vaccines or medical care to pri-vate Us citizens overseassee CDCrsquos Travel Website ( n httpwwwncdcgovtrav-elcontentnovel-h1n1-fluaspx) for more information for travelers

PREPARE FOR THE POSSIBILITY OF SCHOOL DISMISSAL OR TEMPORARY CLOSuRE OF CHILD CARE PROgRAMS

Although school dismissals or closures of child care pro- n

grams are not likely to be generally recommended at this level of severity they are possible in some jurisdictions Be prepared to allow workers to stay home to care for n

children if schools are dismissed or child care programs are closed strongly recommend that parents not bring their children n

with them to work while schools are dismissedensure that your leave policies are flexible and non-puni- n

tive Cross-train employees to cover essential functions n

Read CDCrsquos Guidance for state and local Public Health n

officials and school Administrators for school (K-12) Re-sponses which can be found at httpwwwcdcgovh1n-1fluschoolsschoolguidancehtm to better understand the conditions under which schools may be dismissed

Under Conditions with Increased Severity Compared to SpringSummer 2009

If 2009 H1n1 becomes more severe than during springsummer 2009 absenteeism will likely be far greater and ad-ditional protective measures to slow the spread of influenza may be considered Check with your local health department for the extent and severity of disease activity in your commu-nity and for recommendations for necessary measures Deci-sions about what tools should be used during a severe 2009 H1n1 outbreak should be based on the observed severity of the event its impact on specific subpopulations the need to protect workers the expected benefit of the interventions the feasibility of success of implementing these measures the di-rect and indirect costs of different interventions and the ef-fects on critical infrastructure health care delivery and soci-ety The following are measures that should be considered if influenza severity increases and are meant for use in addition to the measures outlined above

CONSIDER ACTIVE SCREENINg OF EMPLOYEES WHO REPORT TO WORK

If influenza severity increases at the beginning of the n

workday or with each new shift all employees should be asked about symptoms consistent with an influenza ill-ness8 such as fever or chills AnD cough or sore throat If the severity or the impact of influenza increases CDC rec-ommends that persons with an influenza-like illness not come to work or travel and remain at home for at least 7 days even if symptoms resolve sooner Individuals who are still sick 7 days after they become ill should continue to stay home until at least 24 hours after symptoms have resolved If influenza severity increases CDC recom-mends that people stay home at least 7 days whether or not antiviral medications are usedMake sure your sick leave policies are flexible and consis- n

tent with public health guidance and that your employ-ees are aware of these policies Do not require a doctorrsquos note for workers who are ill with n

influenzaContinue to advise workers to check for any signs of ill- n

ness before reporting to work each dayMake contingency plans for increased absenteeism n

caused by illness in workers or illness in workersrsquo family members that would require them to stay home Planning for absenteeism could include cross-training current em-ployees or hiring temporary workers

CONSIDER ALTERNATIVE WORK ENVIRONMENTS FOR EMPLOYEES AT HIgHER RISK FOR COMPLICATIONS OF INFLuENzA DuRINg PERIODS OF INCREASED INFLuENzA ACTIVITY IN THE COMMuNITY

employees with an underlying chronic medical condition n

or who are pregnant should consider calling their health care provider for advice about how to reduce their risk of exposure to influenza and if they get sick how best to get early treatment for influenzaIf influenza severity increases and if influenza transmis- n

sion is high in the community employers may want to evaluate their work environment to see how they can re-

18 | f L O r i d a p h a r m a C y T O d a y

duce the number of people that high-risk employees come in contact with such as exploring options for telecom-muting from home (if feasible) employers can also think about how workers at higher risk for influenza compli-cations could be reassigned to duties that have minimal contact with other employees clients or customers If these workers cannot be reassigned duties to reduce con-tact with others are concerned about their ability to avoid influenza at the workplace or will be in crowded condi-tions at work or while commuting to work then consider allowing employees at higher risk for influenza complica-tions to stay home from workCDC recommends that ill workers at higher risk of com- n

plications from influenza seek early treatment if they be-come illsee n httpwwwcdcgovh1n1fluqahtm for more infor-mation

CONSIDER INCREASINg SOCIAL DISTANCINg IN THE WORKPLACE

If influenza severity increases local public health offi- n

cials may recommend that employers implement mea-sures to increase the physical distance between people in the workplace to reduce the spread of influenza The goal should be for there to be at least 6 feet of distance between people at most times This is not a simple or easy strategy and would typically require considerable flexibility These measures may include avoiding crowded work settings canceling business-related face-to-face meetings spacing workers farther apart canceling non-essential travel in-creasing use of teleworking and using staggered shifts to allow fewer workers to be in the workplace at the same time9

If appropriate for your type of business and feasible re- n

view or develop policies for teleworking including an as-sessment of the capabilities and gaps of your current com-puter systems and availability of technical support Take remedial steps if needed and test your system in advance to assure it can handle an increase in remote usersRecommendations to increase social distancing may af- n

fect community functioning Because supply chain issues may be affected make sure you have plans for back-up suppliers

CONSIDER CANCELINg NON-ESSENTIAL BuSINESS TRAVEL AND ADVISINg EMPLOYEES ABOuT POSSIBLE DISRuPTIONS WHILE TRAVELINg OVERSEAS

If the severity of the outbreak worldwide increases in the n

fall or winter public health officials may recommend so-cial distancing strategies which include canceling non-es-sential travel and travel restrictions may be enacted by some countries which may limit the ability of employees to return home if they become ill while on travel statusIf influenza severity increases travelers should also be n

prepared for travel delays health screenings and other activities targeted towards travelers Provide information to travelers about contingency plans and how their travel

can be rebooked for these possible delays

PREPARE FOR SCHOOL DISMISSAL OR CLOSuRE OF CHILD CARE PROgRAMS

school dismissals and closure of child care programs are n

more likely at higher levels of severity Be prepared to allow workers to stay home to care for their children if schools are dismissed or child care programs are closed If dismissal is needed schools are being advised to dis-miss students for at least 5 to 7 calendar days or longer if necessary encourage employees who perform essential functions n

and who have children to plan for contingencies should local child care programs close or schools dismiss stu-dents Be prepared for prolonged absenteeism if schools dismiss n

students for an extended time Make sure your leave poli-cies are flexible and non-punitive employers should strongly recommend that parents not n

bring their children with them to work while schools are dismissedImplement flexible workplace policies like teleworking n

and staggered shifts Cross-train employees to cover essential functions n

Read CDCrsquos school guidance which can be found at n

httpwwwcdcgovh1n1fluschoolsschoolguidancehtm to better understand the conditions under which schools may be dismissed

OTHER CONSIDERATIONSAs part of their comprehensive pandemic planning n

some public and private sector employers have stock-piled or otherwise arranged for influenza antiviral drugs to be available for their employees during a pandemic To guide these efforts HHs released guidance to busi-nesses in 2008 entitled Considerations for Antiviral Drug Stockpiling by Employers in Preparation for an Influenza Pan-demic (httpwwwflugovvaccineantiviral_employershtml) see updated interim guidance on the use of antivi-ral agents for treatment and prophylaxis of 2009 H1n1 in-fluenza infection at httpwwwcdcgovh1n1flurecom-mendationshtmemployers should be aware that the severity of 2009 n

H1n1 influenza could change rapidly therefore local public health recommendations to communities and busi-nesses could be revised quickly Planners should identi-fy sources of timely and accurate information so they are aware of changes to recommendations and can promptly implement revised or additional measures recommended by local public health officials

O C T O B e r 2 0 0 9 | 19

The Florida Pharmacy Association 2009 ResolutionsPresented to the House of Delegates

It is an honor to serve as your 2009-2010 FPA speaker of the House of Delegates I have the privilege of follow-ing in the footsteps of some of FPArsquos most effective and prominent leaders and speakers including most recently suzanne Kelly

The House meeting held during the 2009 FPA An-nual Meeting in st Augustine was a lively and exciting meeting for our association If you missed the meeting or unaware of how the FPA House of Delegates serves itrsquos membership I strongly encourage you to contact myself directly or any of the FPA House of Delegates Board of Di-rectors Any one of us will be happy to get you involved and excited about this group and share with you how ev-ery resolution directly impacts the direction of the associ-ation and you its member

The FPA Board of Directors of the House of Delegates is made up of the following faithful memberssuzanne Kelly ndash Chair of the House of Delegates Board

of DirectorsAlexander Pytlarz ndash speaker of the House of DelegatesWilliam Riffee ndash Vice-speakershannon Zandy ndash DirectorCaridad Ferree ndash DirectorJosh Fields ndash Director Karen Whalen ndash FPA PresidentHumberto Martinez ndash FPA President-electMichael A Mone ndash ParliamentarianMichael A Jackson ndash FPA executive Vice President amp

Ceoon behalf of the House Board of Directors Irsquod like to

welcome the newest members of the House Board of Di-

rectors Dean William Riffee Vice-speaker and Caridad Ferree Director were elected at this years FPA Annual Meeting We look forward to their involvement

The House also had the privilege of introducing two new invited organizations to the House They are nige-rian Pharmacists Association and Florida Independent Pharmacy network

If any member represents an organization that wants to be involved in the House of Delegates please contact me directly I will be happy to work with you and your or-ganization so you are represented within the House and have your voice heard by all FPA members

At this past yearrsquos meeting the House reviewed eight submitted resolutions Below is a summary of the actions of the each resolution that the House took and to what committee the adopted resolutions were referred to by your President Karen Whalen Please review these reso-lutions as they will impact the policies and direction of our association If you have any comments or questions please feel free to contact me or any member of the House Board As always itrsquos never too early to start thinking about possible resolutions for next years House

Thank you for the opportunity to serve you and the Florida Pharmacy Association

Best regards

Alexander Pytlarz2009-2010 speaker of the House of Delegates

RESOLUTION 1

Pharmacy Manager in Charge Man-date rule changes for the State require to be on-site 24 hr perweekBroward County Pharmacist Associa-tion

Whereas There is no statutory or rule requirement for a Manager in Charge to be present in the Pharmacy

Whereas over the last few years in-ternet practices and non-pharmacist owned pharmacies have flourished in practice settings that were poorly su-pervised

Be it Resolved that the FPA propose that the Florida Pharmacy Board pro-mulgate rules which safeguard the public by having a Responsible par-ty (Pharmacy Manager of Record) on

premises 24 hrs per given week

Contact Broward County Pharmacist AssocDaniel P sweet RPhPast President Board Member954-232-8202

Intent To protect the public from non-pharmacist owners to influence the practice of pharmacy by placing a phar-

20 | f L O r i d a p h a r m a C y T O d a y

macist on record without reviewing the day to day operations of Pharmacy Practice and its Rules and statues

Resolution not Adopted

Respectfully submitted

Broward County Pharmacist Associa-tion

RESOLUTION 2

Repeal 40 hr Rule for Community Pharmacy PermitBroward County Pharmacist Associa-tion

Whereas the Practice of Pharmacy is evolving to an Information Profession where pharmacists will be reviewing medication therapy

Whereas in populated areas there are multiple pharmacies in a compact radi-us

Be it Resolved that the Florida Board of Pharmacy act in repealing the 40 hr rule for Community Pharmacy Permit withstanding that there is a pharmacy within 5 miles with extended hours or a 24 hr pharmacy within 2 miles

Contact Daniel P sweet RPhPast President Board Member Broward County Pharmacist Assoc954-232-8202

Intent With Pharmacy Practice evolv-ing with more Pharmacists are going to use there education to create office type practice The Pharmacist will need to be off-site to review medications and council patients on the use of their medication

Respectfully submittedBroward County Pharmacist Associa-tion

Motion to amendAmendment passedspeaker unable to determine the posi-

tion of the House on voice votestanding vote called for by the House speakerResolution adopted on standing vote

RESOLUTION 3

Physician Dispensing ndash Limiting Scope as Pertains to Controlled Sub-stancesBroward County Pharmacists Associa-tion

Whereas a significant problem regard-ing the misuse of controlled substances in our state has been identified and

Whereas the checks and balances that the pharmacist brings to the equation of reducing the potential for misuse of controlled substances due to conflicts of interest is circumvented in the phy-sician dispensing model

Be it Resolved that the FPA seek legis-lative changes to limit the in-office dis-pensing of controlled substances up to and not more than a three (3) day sup-ply Contact Broward County Pharmacists AssociationDaniel P sweet RPhPast President Board Member954-232-8202

Motion to amend the phrase ldquowork with the respective BoardsrdquoAmendment is adoptedMotion to amend by adding the words ldquouprdquo and the words ldquoand not more thanrdquo to the first sentenceMotion to amend passesMotion to amend by striking the last sentence of the resolveMotion to amend passesResolution Adopted

Intent With the advent of Pain Man-agement Clinics with Dispensaries Pa-tient safety and control is lost by not having a Pharmacist oversee the pa-tientsrsquo therapeutic management with-in the guidelines of the FDA and Con-trolled substance Abuse Act

RESOLUTION 4

Pharmacy Service TaxBroward County Pharmacists Associa-tion

Whereas Pharmacy has assumed the burden of absorbing the costs associat-ed with receiving and sending data to all sources

Whereas these costs continue to grow and are not associated with the cost of the product or filling fee received then

Be it Resolved that the FPA work with the proper legislative process for the state to create a TAX for prescriptions to cover all communication costs inher-ent in Rx processing for e-prescribing communications to PBMrsquos and data re-porting costs for handling in-state re-porting of Controlled substances

Be it Further Resolved that the col-lected tax be used only for Pharmacy Claims Administrative Costs in han-dling the claims and bear no economic andor administrative burdens on the pharmacy

Resolution not Adopted

Contact Broward County Pharmacists AssociationDaniel P sweet RPhPast President Board Member954-232-8202

Intent With greater dependency on data network and associated costs to all pharmacies we have been placed in a pinch With the state controlling the process we gain on many fronts First no back-end costs on any Rx claim next the state can legally charge PBMrsquos un-der contract and will be responsible for collecting the tax and lastly the state can use their collective bargain-ing power to reduce the costs associat-ed with data transmission

Respectfully submitted

Broward County Pharmacists Associa-tion

O C T O B e r 2 0 0 9 | 21

RESOLUTION 5

RPh Not a Degree Designationleon County Pharmacy Association

WHEREAS pharmacists with a PharmD degree very proudly and rightfully use their degree designation of PharmD with their name and

WHEREAS pharmacists with a BsP degree generally use RPh with their name and

WHEREAS the designation of RPh for Registered Pharmacist is not a degree designation and was enacted into the original Florida Pharmacy Practice Act of 1889 The current practice act defines a pharmacist as a licensed Pharmacist lPh

THEREFORE the leon County Phar-macy Association moves that the FPA promote the use of the BPharm desig-nation for the BsP degree in place of the RPh designation which no longer is ref-erenced in the Florida Pharmacy Prac-tice Act

Motion to amendMotion to amend failsResolution Adopted

Contact persons Michael A Jackson- (850) 222- 2400Jim Powers- (850) 422- 0079

Background The resolution pretty well speaks for itself however it should be noted that in most national pharmacy publications pharmacists with a BsP degree are using the BPharm designa-tion behind their names In research-ing Dr Gene Gramlingrsquos book ldquoA His-tory of Pharmacy in Floridardquo it has the Florida Pharmacy Practice Act of 1889 which reads as follows section 4 Be it further enacted that the Board of Phar-macy shall register in a suitable book the names and places of residence of all persons to whom they issue certifi-cates and dates thereof It shall be the duty of said Board of Pharmacy to reg-ister without examination as registered pharmacists all pharmacists and drug-gists who are engaged in business in

the state of Florida at the passage of this act as owners or principals of stores or pharmacies In any village town or city of more than 200 inhabitants helliprdquo

RESOLUTION 6

Long Term Care regulatory frame-workFlorida Chapter of American society of Consultant Pharmacist

Whereas the Florida regulatory frame-work for long-term care pharmacy should be reviewed periodically to en-sure that it is consistent with current practice the FPA legislative commit-tee resolves to coordinate with the Flor-ida Chapter of the American society of Consultant Pharmacists to review the current regulatory framework for long-Term Care pharmacy in Florida

Resolved that the FPA legislative Committee coordinate with the Flori-da Chapter of the American society of Consultant Pharmacists to review the current regulatory framework for long-Term Care Pharmacy in Florida

Resolve substituted by the sponsor and accepted by the House substitute Resolution Adopted

Contact name and Phone stephen J Grabowski (727) 945-0760

Problem As the number of our nationrsquos seniors has grown so to have the de-mands and challenges placed upon the pharmacists serving those seniors who live in long-term care facilities since the practice of pharmacy has evolved over the years with increased workload demands changing roles of pharmacy technicians and new technologies so too have the regulatory guidelines and oversight responsibilities of the state boards

Intent not only will the practice of pharmacy need to adapt to the needs of seniors in long-term care facilities but state board of pharmacies and phar-macists under their preview must un-

derstand the impact of these changes Pharmacists practicing in long-term care must collaborate with state boards of pharmacy to update practice acts to ensure the protection of the health safety and welfare of the public

RESOLUTION 7

Evaluation of the ldquoPedigree Docu-mentation Programrdquo as stated in Flor-ida Statue 499Alachua County Association of Phar-macists

Whereas Florida statue 499 states that its purpose is to safeguard the public health and promote the public welfare by protecting the public from injury by product use and by merchandising de-ceit involving drugs devices and cos-metics

Whereas Pharmacies Pharmacists Pharmacy Wholesalers Pharmaceuti-cal Manufacturers and Pharmacy Re-packagers are all an integral part of this program

Whereas there is financial costs associ-ated with this program

Whereas there are penalties associated with this program

RESOLVED - The FPA request the Agency for Health Care Administra-tion to evaluate the ldquoPedigree Docu-mentation Programrdquo (49901212) to de-termine effectiveness and identification of improvements in the program for the protection of the public safety

Problem - The state of Florida enact-ed the ldquoPedigree Documentation Pro-gramrdquo (49901212) to keep adulterated and misbranded pharmaceuticals from consumers

Intent - To determine the effectiveness of the ldquoPedigree Documentation Pro-gramrdquo in achieving its purpose

Resolution Adopted

22 | f L O r i d a p h a r m a C y T O d a y

sion forward Please join us in Talla-hassee next March

FPA Legislative Key Contact Network

The FPA legislative Committee would like to match up at least one pharmacist with every key legisla-tor in the state If you currently have a relationship with one of your state legislators or if you are willing to take the steps listed above to be one of our grassroots advocates we want to know sign up to be a member of our Key legislative Contacts If you can help please let us know by con-tacting any member of the legisla-tive Committee listed below or you may contact me directly at klwizcomcastnet

lastly your legislative Commit-tee deserves a BIG ldquoThank Yourdquo for their time and effort These mem-bers have stepped up to help our profession grow and prosper Fol-lowing is a list of the members of the 2009-2010 FPA legislative Commit-teeDavid AndrewsDon BergemannGary DalinMitchell FingerhutAmy FerrolRamy GabrielMark HobbsMichael JacksonHumberto MartinezMark PercifieldManny PrieguezAlexander PytlarzTeysha RichardsonWilliam RiffeeTheresa Tollenorman TomakaAmanda Waltemathlori WeemsKaren WhalenRobert WilburChristine Yocum

Ken Wisniewski2009-2010 legislative Committee Chair

Viewpoint continued from page 5Respectfully submitted

Alachua County Association of Phar-macists

RESOLUTION 8

Continuous quality Improvement Program-Program EvaluationAlachua County Association of Phar-macists

Whereas the CQI Program is a system of standards and procedures to identify and evaluate quality-related events and improve patient care

Whereas some of the main goals of FPA and the Board of Pharmacy is to improve patient care and safety

Whereas an evaluation of the CQI Pro-gram may identify improvements that could be incorporated into the pro-gram

Whereas information about patient safety practices obtained from the pro-gram evaluation would be helpful if shared with the pharmacists of Florida and the nation

Resolved that the FPA request the Flor-ida Board of Pharmacy to conduct a Program evaluation of the Continuous Quality Improvement Program (64B16-27300)

Problem- since the enactment of 64B16-27300 Continuous Quality Improve-ment (CQI) Program there has not been a program evaluation

Intent- The evaluation of the CQI Pro-gram for effectiveness

Respectfully submittedAlachua County Association of Phar-macists

Resolution Adopted

JOIN TODAY

Florida Pharmacy Association

O C T O B e r 2 0 0 9 | 23

RESOLUTION 1Pharmacy Manager in Charge Man-date rule changes for the State require to be on-site 24 hr perweekBroward County Pharmacist Associa-tion Whereas There is no statutory or rule requirement for a Manager in Charge to be present in the PharmacyWhereas over the last few years in-ternet practices and non-pharmacist owned pharmacies have flourished in practice settings that were poorly su-pervisedBe it Resolved that the FPA propose that the Florida Pharmacy Board pro-mulgate rules which safeguard the public by having a Responsible par-ty (Pharmacy Manager of Record) on premises 24 hrs per given weekContact Broward County Pharmacist AssocDaniel P sweet RPhPast President Board Member954-232-8202Intent To protect the public from non-pharmacist owners to influence the practice of pharmacy by placing a phar-macist on record without reviewing the day to day operations of Pharmacy Practice and its Rules and statuesResolution Not AdoptedRespectfully SubmittedBroward County Pharmacist Associa-tion

RESOLUTION 2

Repeal 40 hr Rule for Community Pharmacy PermitBroward County Pharmacist Associa-tion Whereas the Practice of Pharmacy is evolving to an Information Profession where pharmacists will be reviewing medication therapyWhereas in populated areas there are multiple pharmacies in a compact radi-usBe it Resolved that the Florida Board of Pharmacy act in repealing the 40 hr rule for Community Pharmacy Permit withstanding that there is a pharmacy within 5 miles with extended hours or a 24 hr pharmacy within 2 milesContact

Daniel P sweet RPhPast President Board Member Broward County Pharmacist Assoc954-232-8202 Intent With Pharmacy Practice evolv-ing with more Pharmacists are going to use there education to create office type practice The Pharmacist will need to be off-site to review medications and council patients on the use of their medicationRespectfully SubmittedBroward County Pharmacist Associa-tion Motion to amendAmendment passedSpeaker unable to determine the posi-tion of the House on voice voteStanding vote called for by the House SpeakerResolution adopted on standing vote

RESOLUTION 3

Physician Dispensing ndash Limiting Scope as Pertains to Controlled Sub-stancesBroward County Pharmacists Associa-tionWhereas a significant problem regard-ing the misuse of controlled substances in our state has been identified andWhereas the checks and balances that the pharmacist brings to the equation of reducing the potential for misuse of controlled substances due to conflicts of interest is circumvented in the phy-sician dispensing model Be it Resolved that the FPA seek legis-lative changes to limit the in-office dis-pensing of controlled substances up to and not more than a three (3) day sup-ply Contact Broward County Pharmacists Associa-tionDaniel P sweet RPhPast President Board Member954-232-8202Motion to amend the phrase ldquowork with the respective BoardsrdquoAmendment is adoptedMotion to amend by adding the words ldquouprdquo and the words ldquoand not more thanrdquo to the first sentenceMotion to amend passes

Motion to amend by striking the last sentence of the resolveMotion to amend passesResolution AdoptedIntent With the advent of Pain Man-agement Clinics with Dispensaries Pa-tient safety and control is lost by not having a Pharmacist oversee the pa-tientsrsquo therapeutic management with-in the guidelines of the FDA and Con-trolled substance Abuse Act

RESOLUTION 4

Pharmacy Service TaxBroward County Pharmacists Associa-tionWhereas Pharmacy has assumed the burden of absorbing the costs associat-ed with receiving and sending data to all sourcesWhereas these costs continue to grow and are not associated with the cost of the product or filling fee received thenBe it Resolved that the FPA work with the proper legislative process for the state to create a TAX for prescriptions to cover all communication costs inher-ent in Rx processing for e-prescribing communications to PBMrsquos and data re-porting costs for handling in-state re-porting of Controlled substancesBe it Further Resolved that the col-lected tax be used only for Pharmacy Claims Administrative Costs in han-dling the claims and bear no economic andor administrative burdens on the pharmacyResolution Not AdoptedContact Broward County Pharmacists Associa-tionDaniel P sweet RPhPast President Board Member954-232-8202Intent With greater dependency on data network and associated costs to all pharmacies we have been placed in a pinch With the state controlling the process we gain on many fronts First no back-end costs on any Rx claim next the state can legally charge PBMrsquos un-der contract and will be responsible for collecting the tax and lastly the state can use their collective bargain-ing power to reduce the costs associat-

EmailFax Network HotlineReceive up-to-date and up-to-the-min-ute information on legislative Develop-ments Board of Pharmacy changes and other topics affecting the profession of pharmacy Call FPA Member services at (850) 222-2400 ext 110 ndash rsimmonspharmviewcom

Tax ResourceProvides defense and protection of your assets when you are audited Tax Resource will defend their clients for any income tax audit Federal or state for any tax year Tax Resource pio-neered the tax audit service business and is the largest audit defense firm in the United states Call (800) 92-AUDIT (800-922-8348)

Atlantic Coupon Redemption Center Receive payment in 25 working days of couponrsquos face value plus a rebate of 16 cents based on store volume Call Meredith McCord (800) 223-0398

Florida Commerce Federal Credit Union The chief objective of a credit union is not generating profits for stockholders but to provide service to its member The members benefit by getting attrac-tive returns on savings loans made at fair rates of interest plus enhanced and expanded services This is probably one of the best deals around Call (850) 488-0035

Collection Services For past due accounts call I C system Inc Call (800) 328-9595

Other Member Benefits n Discounted Continuing education

Programsn Monthly Issues of the Florida Phar-

macy Today Journal

ITC Deltacom offering FPA members exclusive associa-tion discounts on telecommunication ser-vices including local services long dis-tance data networks telephone systems and dedicated internet access Call 850-701-3200 or visit wwwitcdeltacomcom

Pharmacy Resource Materials FPA provides the most recent and rele-vant resources necessary to meet your professional needs This includes the Continuous Quality Improvement Manu-al Controlled substance Inventory Book-lets and Pharmacy signs Please call FPA Members services for more information 850-222-2400 ext 110

FPA Website Visit our FPA Website at wwpharmviewcom The site launched in December 2004 and revised in october 2008 includes a members only section The website of-fers a secure server so that you can reg-isters for Ce programs renew your mem-bership or purchase resources materials with your credit card

in keeping with a tradition of offering our members real benefits the Florida Pharmacy association (FPa) is proud to announce the introduction of sponsored discount Benefits Program these vendors are dedicated to providing an excellent value to all FPa members and associates to take advantage of benefits contact the vendors directly at the numbers listed below and identify yourself as a FPa member and have your membership id number handy

MEMBERSHIP MATTERS

Florida Pharmacy Association

24 | f L O r i d a p h a r m a C y T O d a y

Wyeth Bowl of Hygeia

Awarded to a pharmacist for out-standing community service above and beyond professional duties The use of the following selection criteria is re-quired

The recipient must be a Florida li- n

censed pharmacist and a member of FPAThe recipient must be living Awards n

are not presented posthumouslyThe recipient has not previously re- n

ceived the awardThe recipient is not currently serving n

nor has heshe served within the immediate past 2 years on its award committee or an officer of the asso-ciation in other than an ex officio ca-pacityThe recipient has compiled an out- n

standing record of community ser-vice which apart from hisher spe-cific identification as a pharmacist reflects well on the profession

James H Beal Award

Awarded to the Pharmacist of the Year The criteria established for this award is that the recipient be a Flori-da registered pharmacist and a mem-ber of FPA who has rendered outstand-ing service to pharmacy within the past five yearsCriteria

The recipient must be a Florida reg- n

istered pharmacist and a member of the FPAThe recipient has rendered outstand- n

ing service to pharmacy within the past five years

Technician of the Year AwardAwarded annually to a Florida

pharmacy technician who is recog-nized for hisher outstanding perfor-mance and achievement during hisher career

Criteria

Candidate must be a member of n

the Florida Pharmacy Association for at least 2 yearsCandidate must have demonstrat- n

ed contributions and dedication to the advancement of pharmacy technician practiceCandidate must have demonstrat- n

ed contributions to the Florida Pharmacy Association andor oth-er pharmacy organizationsCandidate must have demonstrat- n

ed commitment to community ser-viceCandidate is not a past recipient of n

this award

RQ Richards Award

This award is based on outstanding achievement in the field of pharmaceu-tical public relations in FloridaCriteria

The recipient must be a Florida reg- n

istered pharmacist and a member of the FPAThe recipient has displayed out- n

standing achievement in the field of pharmaceutical public relations in Florida

Frank TobackAZO Consultant

Pharmacist Award

CriteriaCandidate must be an FPA member n

registered with the Florida Board of Pharmacy as a consultant pharma-cist in good standingCandidate should be selected based n

on their outstanding achievements in the field of consultant pharmacy

DCPA Sidney Simkowitz

Pharmacy Involvement Award

Presented annually to a Florida pharmacist who has been active at the local and state pharmacy association level in advancement of the profes-sion of pharmacy in Florida

CriteriaA minimum of five years of active n

involvement in and contributions to the local association and FPACandidate must have held office at n

local level pharmacy associationMember in good standing for a pe- n

riod of at least five years in the FPA and must have served as a member or chairman of a committee of the associationCandidate must have been active- n

ly involved in a project that has or could potentially be of benefit to members of the profession

Pharmacists Mutual Companies

Distinguished Young Pharmacist

Award

Awarded to a young pharmacist for their involvement and dedication to the practice of pharmacyCriteria

licensed to practice for nine (9) years n

or lesslicensed to practice in the state in n

which selectedParticipation in national pharmacy n

association professional programs andor community service

IPA Roman Maximo Corrons

Inspiration amp Motivation Award

Interamerican Pharmacists Association created this award to honor the memo-ry of Roman M Corrons who inspired and motivated countless pharmacists to participate actively and aspire to take on leadership roles in their profession Roman was always there with guidance and support that motivated pharma-cists and encouraged visionary leader-ship approachable active membership and succession planning This award recognizes the motivators among us who inspire others to continue to ad-vance the professionCriteria

C a L L f O r N O m i N a T i O N s F P A A W A R D S 2 0 0 9 - 2 0 1 0

O C T O B e r 2 0 0 9 | 25

DEADLINE FOR NOMINATIONS FEBRUARY 28 2010

The recipient must be a Florida li- n

censed Pharmacist and a member of the FPACandidate should motivate others n

to excel within the profession by en-couraging them to be leadersCandidate is not necessarily an as- n

sociation officer but guides sup-ports andor inspires others

A brief description on the candidatersquos motivationalinspirational skills must accompany the nomination

The Jean Lamberti

Mentorship Award

The Jean lamberti Mentorship Award was established in 1998 to hon-or those pharmacists who have taken time to share their knowledge and ex-

perience with pharmacist candidates The award is named in honor of long time FPA member Jean lamberti for her effort in working with pharmacy studentsCriteria

The recipient must be an FPA mem- n

berThe recipient must serve as a role n

model for the profession of pharmacy

Innovative Pharmacy Practice

Award

Awarded to honor practicing phar-macists who have demonstrated inno-vation in pharmacy practice that has resulted in improved patient careCriteria

The recipient has demonstrated inno- n

vative pharmacy practice resulting in improved patient careThe recipient should be a practic- n

ing pharmacist within the geograph-ic area represented by the presenting Association

Qualified nominee A pharmacist prac-ticing within the geographic area repre-sented by the presenting Association

I AM PLEASED TO SUBMIT THE FOLLOWING NOMINATION

Name

Address

FOR THE FOLLOWING AWARD

(Nomination Deadline February 28 2009)

Wyeth Bowl of Hygeia Award

James H Beal Award

RQ Richards Award

Frank TobackAZO Consultant Pharmacist Award

DCPA Sydney Simkowitz Award

Pharmacists Mutual Co Distinguished Young Pharmacist Award

Academy of Pharmacy Practice Practitioner Merit Award

The Jean Lamberti Mentorship Award

IPA Roman Maximo Corrons Inspiration amp Motivation Award

Innovative Pharmacy Practice Award

Technician of the Year Award

NOMINATED BY

Name

Date Submitted

Signature

Please describe briefly below the nominees accomplishments indicating why you feel he or she should receive this award (Attach additional sheets if necessary)

C a L L f O r N O m i N a T i O N s F P A A W A R D S 2 0 0 9 - 2 0 1 0

F P A A W A R D S N O M I N A T I O N F O R M

mail nominatons to annual awards Florida Pharmacy association 610 n adams st tallahassee Fl 32301(850) 222-2400 FaX (850) 561-6758 dEadlinE For nominations is FEBrUary 28 2010

26 | f L O r i d a p h a r m a C y T O d a y

CALL FOR RESOLUTIONS TO THE 2010 HOUSE OF DELEGATES

The House of Delegates Board of Directors will meet in March 2010 to review and approve resolu-tions for the Annual Meeting The deadline for submitting resolutions is March 15 2010 PleAse noTe THIs DeADlIne

The following information will be needed when submitting resolutions

1 name of organization The name of the organization submitting the resolutions(s)2 name and telephone number of individuals A contact in the event clarification or further in-

formation is needed 3 Problem A statement of the problem addressed by the resolution4 Intent A statement of what passage of the resolution will accomplish5 Resolution Format (please type and use double spacing)

TiTle of ResoluTion

name of oRganizaTion

WheReas and

WheReas

TheRefoRe be iT

Resolved (ThaT The fPa oR subdivision of fPa)

ConTaCT name and Phone

PRoblem

inTenT

Page 14: October 2009 Florida Pharmacy Journal

14 | f L O r i d a p h a r m a C y T O d a y

City of Tallahassee Declares October as American Pharmacists Month

Tallahassee Mayor John Marks has declared october as American Pharmacist Month In a procla-mation signed on october 1 2009 Mayor Marks urged all citizens to acknowledge the valuable servic-es of pharmacists to provide safe affordable and beneficial pharma-ceutical care services and prod-ucts to all citizens

The Florida Pharmacy Associa-tion wish to thank our FAMU in-tern Carina Davison for her work with the City of Tallahassee dur-ing her rotation here at the FPA of-fice

FROM THE GOVERNING BODY OFTHE CITY OF TALLAHASSEE

PROCLAMATIONWhereas pharmacy is one of the oldest of the health professions con-cerned with the health and well-being of all people andWhereas today there are over 254000 pharmacists practicing in the United States and over 400 pharmacists licensed in the city of Tallahassee providing services to assure the rational and safe use of all medications andWhereas the use of medication as a cost-effective alternative to more expensive medical procedures is becoming a major force in moderating overall health care costs andWhereas todays powerful medications require greater attention to the manner in which they are used by different patient population groups -both clinically and demographically andWhereas it is important that all users of prescription and nonprescrip-tion medications or their caregivers be knowledgeable about and share responsibility for their own drug therapy andWhereas the American Pharmacists Association and the Florida Phar-macy Association have declared October as American Pharmacists Month with the theme Know Your Medicines - Know Your Pharmacist

Now therefore be it resolved that I John Marks do hereby proclaim October as

American Pharmacists Month

in the city of Tallahassee and urge all our citizens to acknowledge the valuable services of pharmacists to provide safe affordable and beneficial pharmaceutical care services and products to all citizens

O C T O B e r 2 0 0 9 | 15

pandemicfluindexhtml)Review human resources policies to make sure that poli- n

cies and practices are consistent with public health rec-ommendations and are consistent with existing state and federal workplace laws (for more information on employ-er responsibilities employers should visit the Department of laborrsquos and the equal employment opportunity Com-missionrsquos websites at wwwdolgov and wwweeocgov)Allow employees to stay home if they are ill have to care n

for ill family members or must watch their children if schools or childcare facilities closeexplore whether you can establish policies and practices n

such as flexible worksites (eg telecommuting) and flex-ible work hours (eg staggered shifts) when possible to increased the physical distance among employees and be-tween employees and others if local public health author-ities recommend the use of social distancing strategies ensure that you have the information technology and in-frastructure needed to support multiple workers who may be able to work from homeIdentify essential business functions essential jobs or n

roles and critical elements within your supply chains (eg raw materials suppliers subcontractor servicesproducts and logistics) required to maintain business op-erations Plan for how your business will operate if there is increasing absenteeism or these supply chains are inter-ruptedset up authorities triggers and procedures for activat- n

ing and terminating the companyrsquos response plan alter-ing business operations (eg possibly changing or closing operations in affected areas) and transferring business knowledge to key employees Work closely with your lo-cal health officials to identify these triggersPlan to minimize exposure to fellow employees or the n

public if public health officials call for social distancingestablish a process to communicate information to work- n

ers and business partners on your 2009 H1n1 influenza response plans and latest 2009 H1n1 influenza informa-tion Anticipate employee fear anxiety rumors and mis-information and plan communications accordingly

over the past several years HHs CDC DHs osHA eeoC and other federal partners have developed guidelines including checklists to assist businesses industries and oth-er employers in planning for a pandemic outbreak Review these resources to assist in your planning efforts wwwflugovplanworkplaceplanningindexhtml

The recommendations that follow provide guidance on how employers can develop strategies and respond to two levels of severity local conditions will influence the deci-sions that public health officials make regarding community-level strategies employers should take the time now to learn about plans in place in each community where they have a presence

Recommended Employer Responses for the 2009-2010 Flu SeasonRecommended Action Steps under Current Flu Conditions (similar severity as in SpringSummer 2009)

If the severity of illness in the fall and winter is similar to that observed in the spring and summer of 2009 the effects of 2009 H1n1 influenza may not have substantial impacts on absenteeism though some increase in absenteeism over the spring season is anticipated When larger numbers of people become ill correspondingly larger numbers of people will be-come seriously ill and may require hospitalization

SICK PERSONS SHOuLD STAY HOMEAdvise workers to be alert to any signs of fever and any n

other signs of influenza-like illness6 before reporting to work each day and notify their supervisor and stay home if they are ill employees who are ill should not travel while they are illCDC recommends that employees with influenza-like ill- n

ness remain at home until at least 24 hours after they are free of fever (100deg F [378deg C] or greater) or signs of a fever without the use of fever-reducing medicationsexpect sick employees to be out for about 3 to 5 days in n

most cases even if antiviral medications are usedensure that your sick leave policies are flexible and con- n

sistent with public health guidance and that employees are well aware of these policiesTalk with companies that provide your company with n

contract or temporary workers about the importance of sick workers staying home and encourage them to devel-op non-punitive leave policiesDo not require a doctorrsquos note for workers who are ill with n

influenza-like illness to validate their illness or to return to work as doctorrsquos offices and medical facilities may be extremely busy and may not be able to provide such doc-umentation in a timely way employees who are well but who have an ill family mem- n

ber at home with influenza can go to work as usual How-ever these employees should monitor their health every day and notify their supervisor and stay home if they be-come ill employers should maintain flexible policies that permit employees to stay home to care for an ill family member employers should be aware that more workers may need to stay at home to care for ill children or other ill family members than is usual

SICK EMPLOYEES AT WORK SHOuLD BE ASKED TO gO HOME

CDC recommends that workers who appear to have an n

influenza-like illness upon arrival or become ill during the day be promptly separated from other workers and be advised to go home until at least 24 hours after they are free of fever (100deg F [378deg C] or greater) or signs of a fever without the use of fever-reducing medications Those who become ill with symptoms of an influenza-like n

illness during the work day should be

16 | f L O r i d a p h a r m a C y T O d a y

o separated from other workers and asked to go home promptly (For recommendations on personal protec-tive equipment for a person assisting the ill employee see Interim Recommendations for Facemask and Res-pirator Use to Reduce novel Influenza A (H1n1) Vi-rus Transmission httpwwwcdcgovh1n1flumaskshtm)

o When possible and if they can tolerate it workers with influenza-like illness should be given a surgical mask to wear before they go home if they cannot be placed in an area away from others

If an employee becomes ill at work inform fellow employ- n

ees of their possible exposure in the workplace to influen-za-like illness but maintain confidentiality as required by the Americans with Disabilities Act (ADA) For more in-formation on privacy issues please refer to httpwwwflugovfaqworkplace_questionsequal_employmentin-dexhtmlPrivacyIssues employees exposed to a sick co-worker should monitor themselves for symptoms of influ-enza-like illness and stay home if they are sick

COVER COugHS AND SNEEzESInfluenza viruses are thought to spread mainly from per- n

son to person in respiratory droplets of coughs and sneez-es Provide employee messages on the importance of cov-ering coughs and sneezes with a tissue or in the absence of a tissue onersquos sleeve Place posters in the worksite that encourages cough and sneeze etiquetteProvide tissues and no-touch disposal receptacles for use n

by employees

IMPROVE HAND HYgIENEInfluenza may be spread via contaminated hands In- n

struct employees to wash their hands often with soap and water or use an alcohol-based hand cleaner especially af-ter coughing or sneezing Place posters in the worksite that encourage hand hygieneProvide soap and water and alcohol-based hand sanitiz- n

ers in the workplace ensure that adequate supplies are maintained If feasible place hand sanitizers in multiple locations or in conference rooms to encourage hand hy-giene

CLEAN SuRFACES AND ITEMS THAT ARE MORE LIKELY TO HAVE FREquENT HAND CONTACT

Frequently clean all commonly touched surfaces in the n

workplace such as workstations countertops and door-knobs Use the cleaning agents that are usually used in these areas and follow the directions on the labelno additional disinfection beyond routine cleaning is rec- n

ommendedENCOuRAgE EMPLOYEES TO gET VACCINATED

encourage your employees to get vaccinated for seasonal n

influenza For information on groups prioritized for sea-sonal influenza vaccines please see httpwwwcdcgovfluprotectkeyfactshtm encourage your employees also to get vaccinated for 2009 n

H1n1 influenza when vaccines are available to them Dif-ferent groups are prioritized for 2009 H1n1 influenza than for seasonal influenza For information on groups prioritized for H1n1 influenza vaccine please see httpwwwcdcgovh1n1fluvaccinationaciphtm offer opportunities at your worksite for influenza vacci- n

nation Consider granting employees time off from work to get vaccinated if not offered at the worksiteReview the health benefits you offer employees and work n

with insurers to explore if they can cover the costs of in-fluenza vaccination

TAKE MEASuRES TO PROTECT EMPLOYEES WHO ARE AT HIgHER RISK FOR COMPLICATIONS OF INFLuENzA

People at higher risk for complications from influenza in- n

clude pregnant women children under 5 years of age adults and children who have chronic lung disease (such as asthma) heart disease diabetes diseases that suppress the immune system and other chronic medical conditions and those who are 65 years or older7 Inform employees that some people are at higher risk of n

complications from influenza and that if they are at high-er risk for complications they should check with their health care provider if they become ill early treatment with antiviral medications is very important for people at high risk because it can prevent hospitalizations and deathsencourage employees recommended for seasonal influ- n

enza vaccine and 2009 H1n1 vaccines to get vaccinated as soon as these vaccines are available For information on groups prioritized for seasonal and H1n1 vaccines please see httpwwwcdcgovfluprotectkeyfactshtm and httpwwwcdcgovh1n1fluvaccinationaciphtmemployees who become ill and are at increased risk of n

complications from influenza and ill employees who are concerned about their illness should call their health care provider for advice Their health care provider might want them to take antiviral medications to reduce the likelihood of severe complications from the influenzasee n httpwwwcdcgovh1n1fluqahtm for more infor-mation

PREPARE FOR INCREASED NuMBERS OF EMPLOYEE ABSENCES DuE TO ILLNESS IN EMPLOYEES AND THEIR FAMILY MEMBERS AND PLAN WAYS FOR ESSENTIAL BuSINESS FuNCTIONS TO CONTINuE

employers should plan to monitor and respond to ab- n

senteeism at the workplace Implement plans to contin-ue your essential functions in case you experience high-er than usual absenteeism elevated absentee rates can be due to sick workers those who need to stay home and care for others or from workers with conditions that make them at higher risk for complications from influen-za and who may be worried about coming to work Cross-train personnel to perform essential functions so n

that the workplace is able to operate even if key staff are absent

O C T O B e r 2 0 0 9 | 17

Assess your essential functions and the reliance that oth- n

ers and the community have on your services or products Be prepared to change your business practices if need-ed to maintain critical operations (eg identify alternative suppliers prioritize customers or temporarily suspend some of your operations if needed)

ADVISE EMPLOYEES BEFORE TRAVELINg TO TAKE CERTAIN STEPS

Advise workers to check themselves for fever and any n

other signs of influenza-like illness before starting travel and notify their supervisor and stay home if they are illAdvise employees who will be traveling or on temporary n

assignment about precautions they may need to take to protect their health and who to call if they become illemployees who become ill while traveling and are at in- n

creased risk of complications from influenza and oth-ers concerned about their illness should promptly call a health care provider for adviceensure employees who become ill while traveling or on n

temporary assignment understand that they should noti-fy their supervisor If outside the United states ill employees should fol- n

low your companyrsquos policy for obtaining medical care or contact a health care provider or overseas medical assis-tance company to assist them with finding an appropriate health care provider in that country if needed A Us con-sular officer can help locate health care services However Us embassies consulates and military facilities do not have the legal authority capability and resources to evac-uate or give medications vaccines or medical care to pri-vate Us citizens overseassee CDCrsquos Travel Website ( n httpwwwncdcgovtrav-elcontentnovel-h1n1-fluaspx) for more information for travelers

PREPARE FOR THE POSSIBILITY OF SCHOOL DISMISSAL OR TEMPORARY CLOSuRE OF CHILD CARE PROgRAMS

Although school dismissals or closures of child care pro- n

grams are not likely to be generally recommended at this level of severity they are possible in some jurisdictions Be prepared to allow workers to stay home to care for n

children if schools are dismissed or child care programs are closed strongly recommend that parents not bring their children n

with them to work while schools are dismissedensure that your leave policies are flexible and non-puni- n

tive Cross-train employees to cover essential functions n

Read CDCrsquos Guidance for state and local Public Health n

officials and school Administrators for school (K-12) Re-sponses which can be found at httpwwwcdcgovh1n-1fluschoolsschoolguidancehtm to better understand the conditions under which schools may be dismissed

Under Conditions with Increased Severity Compared to SpringSummer 2009

If 2009 H1n1 becomes more severe than during springsummer 2009 absenteeism will likely be far greater and ad-ditional protective measures to slow the spread of influenza may be considered Check with your local health department for the extent and severity of disease activity in your commu-nity and for recommendations for necessary measures Deci-sions about what tools should be used during a severe 2009 H1n1 outbreak should be based on the observed severity of the event its impact on specific subpopulations the need to protect workers the expected benefit of the interventions the feasibility of success of implementing these measures the di-rect and indirect costs of different interventions and the ef-fects on critical infrastructure health care delivery and soci-ety The following are measures that should be considered if influenza severity increases and are meant for use in addition to the measures outlined above

CONSIDER ACTIVE SCREENINg OF EMPLOYEES WHO REPORT TO WORK

If influenza severity increases at the beginning of the n

workday or with each new shift all employees should be asked about symptoms consistent with an influenza ill-ness8 such as fever or chills AnD cough or sore throat If the severity or the impact of influenza increases CDC rec-ommends that persons with an influenza-like illness not come to work or travel and remain at home for at least 7 days even if symptoms resolve sooner Individuals who are still sick 7 days after they become ill should continue to stay home until at least 24 hours after symptoms have resolved If influenza severity increases CDC recom-mends that people stay home at least 7 days whether or not antiviral medications are usedMake sure your sick leave policies are flexible and consis- n

tent with public health guidance and that your employ-ees are aware of these policies Do not require a doctorrsquos note for workers who are ill with n

influenzaContinue to advise workers to check for any signs of ill- n

ness before reporting to work each dayMake contingency plans for increased absenteeism n

caused by illness in workers or illness in workersrsquo family members that would require them to stay home Planning for absenteeism could include cross-training current em-ployees or hiring temporary workers

CONSIDER ALTERNATIVE WORK ENVIRONMENTS FOR EMPLOYEES AT HIgHER RISK FOR COMPLICATIONS OF INFLuENzA DuRINg PERIODS OF INCREASED INFLuENzA ACTIVITY IN THE COMMuNITY

employees with an underlying chronic medical condition n

or who are pregnant should consider calling their health care provider for advice about how to reduce their risk of exposure to influenza and if they get sick how best to get early treatment for influenzaIf influenza severity increases and if influenza transmis- n

sion is high in the community employers may want to evaluate their work environment to see how they can re-

18 | f L O r i d a p h a r m a C y T O d a y

duce the number of people that high-risk employees come in contact with such as exploring options for telecom-muting from home (if feasible) employers can also think about how workers at higher risk for influenza compli-cations could be reassigned to duties that have minimal contact with other employees clients or customers If these workers cannot be reassigned duties to reduce con-tact with others are concerned about their ability to avoid influenza at the workplace or will be in crowded condi-tions at work or while commuting to work then consider allowing employees at higher risk for influenza complica-tions to stay home from workCDC recommends that ill workers at higher risk of com- n

plications from influenza seek early treatment if they be-come illsee n httpwwwcdcgovh1n1fluqahtm for more infor-mation

CONSIDER INCREASINg SOCIAL DISTANCINg IN THE WORKPLACE

If influenza severity increases local public health offi- n

cials may recommend that employers implement mea-sures to increase the physical distance between people in the workplace to reduce the spread of influenza The goal should be for there to be at least 6 feet of distance between people at most times This is not a simple or easy strategy and would typically require considerable flexibility These measures may include avoiding crowded work settings canceling business-related face-to-face meetings spacing workers farther apart canceling non-essential travel in-creasing use of teleworking and using staggered shifts to allow fewer workers to be in the workplace at the same time9

If appropriate for your type of business and feasible re- n

view or develop policies for teleworking including an as-sessment of the capabilities and gaps of your current com-puter systems and availability of technical support Take remedial steps if needed and test your system in advance to assure it can handle an increase in remote usersRecommendations to increase social distancing may af- n

fect community functioning Because supply chain issues may be affected make sure you have plans for back-up suppliers

CONSIDER CANCELINg NON-ESSENTIAL BuSINESS TRAVEL AND ADVISINg EMPLOYEES ABOuT POSSIBLE DISRuPTIONS WHILE TRAVELINg OVERSEAS

If the severity of the outbreak worldwide increases in the n

fall or winter public health officials may recommend so-cial distancing strategies which include canceling non-es-sential travel and travel restrictions may be enacted by some countries which may limit the ability of employees to return home if they become ill while on travel statusIf influenza severity increases travelers should also be n

prepared for travel delays health screenings and other activities targeted towards travelers Provide information to travelers about contingency plans and how their travel

can be rebooked for these possible delays

PREPARE FOR SCHOOL DISMISSAL OR CLOSuRE OF CHILD CARE PROgRAMS

school dismissals and closure of child care programs are n

more likely at higher levels of severity Be prepared to allow workers to stay home to care for their children if schools are dismissed or child care programs are closed If dismissal is needed schools are being advised to dis-miss students for at least 5 to 7 calendar days or longer if necessary encourage employees who perform essential functions n

and who have children to plan for contingencies should local child care programs close or schools dismiss stu-dents Be prepared for prolonged absenteeism if schools dismiss n

students for an extended time Make sure your leave poli-cies are flexible and non-punitive employers should strongly recommend that parents not n

bring their children with them to work while schools are dismissedImplement flexible workplace policies like teleworking n

and staggered shifts Cross-train employees to cover essential functions n

Read CDCrsquos school guidance which can be found at n

httpwwwcdcgovh1n1fluschoolsschoolguidancehtm to better understand the conditions under which schools may be dismissed

OTHER CONSIDERATIONSAs part of their comprehensive pandemic planning n

some public and private sector employers have stock-piled or otherwise arranged for influenza antiviral drugs to be available for their employees during a pandemic To guide these efforts HHs released guidance to busi-nesses in 2008 entitled Considerations for Antiviral Drug Stockpiling by Employers in Preparation for an Influenza Pan-demic (httpwwwflugovvaccineantiviral_employershtml) see updated interim guidance on the use of antivi-ral agents for treatment and prophylaxis of 2009 H1n1 in-fluenza infection at httpwwwcdcgovh1n1flurecom-mendationshtmemployers should be aware that the severity of 2009 n

H1n1 influenza could change rapidly therefore local public health recommendations to communities and busi-nesses could be revised quickly Planners should identi-fy sources of timely and accurate information so they are aware of changes to recommendations and can promptly implement revised or additional measures recommended by local public health officials

O C T O B e r 2 0 0 9 | 19

The Florida Pharmacy Association 2009 ResolutionsPresented to the House of Delegates

It is an honor to serve as your 2009-2010 FPA speaker of the House of Delegates I have the privilege of follow-ing in the footsteps of some of FPArsquos most effective and prominent leaders and speakers including most recently suzanne Kelly

The House meeting held during the 2009 FPA An-nual Meeting in st Augustine was a lively and exciting meeting for our association If you missed the meeting or unaware of how the FPA House of Delegates serves itrsquos membership I strongly encourage you to contact myself directly or any of the FPA House of Delegates Board of Di-rectors Any one of us will be happy to get you involved and excited about this group and share with you how ev-ery resolution directly impacts the direction of the associ-ation and you its member

The FPA Board of Directors of the House of Delegates is made up of the following faithful memberssuzanne Kelly ndash Chair of the House of Delegates Board

of DirectorsAlexander Pytlarz ndash speaker of the House of DelegatesWilliam Riffee ndash Vice-speakershannon Zandy ndash DirectorCaridad Ferree ndash DirectorJosh Fields ndash Director Karen Whalen ndash FPA PresidentHumberto Martinez ndash FPA President-electMichael A Mone ndash ParliamentarianMichael A Jackson ndash FPA executive Vice President amp

Ceoon behalf of the House Board of Directors Irsquod like to

welcome the newest members of the House Board of Di-

rectors Dean William Riffee Vice-speaker and Caridad Ferree Director were elected at this years FPA Annual Meeting We look forward to their involvement

The House also had the privilege of introducing two new invited organizations to the House They are nige-rian Pharmacists Association and Florida Independent Pharmacy network

If any member represents an organization that wants to be involved in the House of Delegates please contact me directly I will be happy to work with you and your or-ganization so you are represented within the House and have your voice heard by all FPA members

At this past yearrsquos meeting the House reviewed eight submitted resolutions Below is a summary of the actions of the each resolution that the House took and to what committee the adopted resolutions were referred to by your President Karen Whalen Please review these reso-lutions as they will impact the policies and direction of our association If you have any comments or questions please feel free to contact me or any member of the House Board As always itrsquos never too early to start thinking about possible resolutions for next years House

Thank you for the opportunity to serve you and the Florida Pharmacy Association

Best regards

Alexander Pytlarz2009-2010 speaker of the House of Delegates

RESOLUTION 1

Pharmacy Manager in Charge Man-date rule changes for the State require to be on-site 24 hr perweekBroward County Pharmacist Associa-tion

Whereas There is no statutory or rule requirement for a Manager in Charge to be present in the Pharmacy

Whereas over the last few years in-ternet practices and non-pharmacist owned pharmacies have flourished in practice settings that were poorly su-pervised

Be it Resolved that the FPA propose that the Florida Pharmacy Board pro-mulgate rules which safeguard the public by having a Responsible par-ty (Pharmacy Manager of Record) on

premises 24 hrs per given week

Contact Broward County Pharmacist AssocDaniel P sweet RPhPast President Board Member954-232-8202

Intent To protect the public from non-pharmacist owners to influence the practice of pharmacy by placing a phar-

20 | f L O r i d a p h a r m a C y T O d a y

macist on record without reviewing the day to day operations of Pharmacy Practice and its Rules and statues

Resolution not Adopted

Respectfully submitted

Broward County Pharmacist Associa-tion

RESOLUTION 2

Repeal 40 hr Rule for Community Pharmacy PermitBroward County Pharmacist Associa-tion

Whereas the Practice of Pharmacy is evolving to an Information Profession where pharmacists will be reviewing medication therapy

Whereas in populated areas there are multiple pharmacies in a compact radi-us

Be it Resolved that the Florida Board of Pharmacy act in repealing the 40 hr rule for Community Pharmacy Permit withstanding that there is a pharmacy within 5 miles with extended hours or a 24 hr pharmacy within 2 miles

Contact Daniel P sweet RPhPast President Board Member Broward County Pharmacist Assoc954-232-8202

Intent With Pharmacy Practice evolv-ing with more Pharmacists are going to use there education to create office type practice The Pharmacist will need to be off-site to review medications and council patients on the use of their medication

Respectfully submittedBroward County Pharmacist Associa-tion

Motion to amendAmendment passedspeaker unable to determine the posi-

tion of the House on voice votestanding vote called for by the House speakerResolution adopted on standing vote

RESOLUTION 3

Physician Dispensing ndash Limiting Scope as Pertains to Controlled Sub-stancesBroward County Pharmacists Associa-tion

Whereas a significant problem regard-ing the misuse of controlled substances in our state has been identified and

Whereas the checks and balances that the pharmacist brings to the equation of reducing the potential for misuse of controlled substances due to conflicts of interest is circumvented in the phy-sician dispensing model

Be it Resolved that the FPA seek legis-lative changes to limit the in-office dis-pensing of controlled substances up to and not more than a three (3) day sup-ply Contact Broward County Pharmacists AssociationDaniel P sweet RPhPast President Board Member954-232-8202

Motion to amend the phrase ldquowork with the respective BoardsrdquoAmendment is adoptedMotion to amend by adding the words ldquouprdquo and the words ldquoand not more thanrdquo to the first sentenceMotion to amend passesMotion to amend by striking the last sentence of the resolveMotion to amend passesResolution Adopted

Intent With the advent of Pain Man-agement Clinics with Dispensaries Pa-tient safety and control is lost by not having a Pharmacist oversee the pa-tientsrsquo therapeutic management with-in the guidelines of the FDA and Con-trolled substance Abuse Act

RESOLUTION 4

Pharmacy Service TaxBroward County Pharmacists Associa-tion

Whereas Pharmacy has assumed the burden of absorbing the costs associat-ed with receiving and sending data to all sources

Whereas these costs continue to grow and are not associated with the cost of the product or filling fee received then

Be it Resolved that the FPA work with the proper legislative process for the state to create a TAX for prescriptions to cover all communication costs inher-ent in Rx processing for e-prescribing communications to PBMrsquos and data re-porting costs for handling in-state re-porting of Controlled substances

Be it Further Resolved that the col-lected tax be used only for Pharmacy Claims Administrative Costs in han-dling the claims and bear no economic andor administrative burdens on the pharmacy

Resolution not Adopted

Contact Broward County Pharmacists AssociationDaniel P sweet RPhPast President Board Member954-232-8202

Intent With greater dependency on data network and associated costs to all pharmacies we have been placed in a pinch With the state controlling the process we gain on many fronts First no back-end costs on any Rx claim next the state can legally charge PBMrsquos un-der contract and will be responsible for collecting the tax and lastly the state can use their collective bargain-ing power to reduce the costs associat-ed with data transmission

Respectfully submitted

Broward County Pharmacists Associa-tion

O C T O B e r 2 0 0 9 | 21

RESOLUTION 5

RPh Not a Degree Designationleon County Pharmacy Association

WHEREAS pharmacists with a PharmD degree very proudly and rightfully use their degree designation of PharmD with their name and

WHEREAS pharmacists with a BsP degree generally use RPh with their name and

WHEREAS the designation of RPh for Registered Pharmacist is not a degree designation and was enacted into the original Florida Pharmacy Practice Act of 1889 The current practice act defines a pharmacist as a licensed Pharmacist lPh

THEREFORE the leon County Phar-macy Association moves that the FPA promote the use of the BPharm desig-nation for the BsP degree in place of the RPh designation which no longer is ref-erenced in the Florida Pharmacy Prac-tice Act

Motion to amendMotion to amend failsResolution Adopted

Contact persons Michael A Jackson- (850) 222- 2400Jim Powers- (850) 422- 0079

Background The resolution pretty well speaks for itself however it should be noted that in most national pharmacy publications pharmacists with a BsP degree are using the BPharm designa-tion behind their names In research-ing Dr Gene Gramlingrsquos book ldquoA His-tory of Pharmacy in Floridardquo it has the Florida Pharmacy Practice Act of 1889 which reads as follows section 4 Be it further enacted that the Board of Phar-macy shall register in a suitable book the names and places of residence of all persons to whom they issue certifi-cates and dates thereof It shall be the duty of said Board of Pharmacy to reg-ister without examination as registered pharmacists all pharmacists and drug-gists who are engaged in business in

the state of Florida at the passage of this act as owners or principals of stores or pharmacies In any village town or city of more than 200 inhabitants helliprdquo

RESOLUTION 6

Long Term Care regulatory frame-workFlorida Chapter of American society of Consultant Pharmacist

Whereas the Florida regulatory frame-work for long-term care pharmacy should be reviewed periodically to en-sure that it is consistent with current practice the FPA legislative commit-tee resolves to coordinate with the Flor-ida Chapter of the American society of Consultant Pharmacists to review the current regulatory framework for long-Term Care pharmacy in Florida

Resolved that the FPA legislative Committee coordinate with the Flori-da Chapter of the American society of Consultant Pharmacists to review the current regulatory framework for long-Term Care Pharmacy in Florida

Resolve substituted by the sponsor and accepted by the House substitute Resolution Adopted

Contact name and Phone stephen J Grabowski (727) 945-0760

Problem As the number of our nationrsquos seniors has grown so to have the de-mands and challenges placed upon the pharmacists serving those seniors who live in long-term care facilities since the practice of pharmacy has evolved over the years with increased workload demands changing roles of pharmacy technicians and new technologies so too have the regulatory guidelines and oversight responsibilities of the state boards

Intent not only will the practice of pharmacy need to adapt to the needs of seniors in long-term care facilities but state board of pharmacies and phar-macists under their preview must un-

derstand the impact of these changes Pharmacists practicing in long-term care must collaborate with state boards of pharmacy to update practice acts to ensure the protection of the health safety and welfare of the public

RESOLUTION 7

Evaluation of the ldquoPedigree Docu-mentation Programrdquo as stated in Flor-ida Statue 499Alachua County Association of Phar-macists

Whereas Florida statue 499 states that its purpose is to safeguard the public health and promote the public welfare by protecting the public from injury by product use and by merchandising de-ceit involving drugs devices and cos-metics

Whereas Pharmacies Pharmacists Pharmacy Wholesalers Pharmaceuti-cal Manufacturers and Pharmacy Re-packagers are all an integral part of this program

Whereas there is financial costs associ-ated with this program

Whereas there are penalties associated with this program

RESOLVED - The FPA request the Agency for Health Care Administra-tion to evaluate the ldquoPedigree Docu-mentation Programrdquo (49901212) to de-termine effectiveness and identification of improvements in the program for the protection of the public safety

Problem - The state of Florida enact-ed the ldquoPedigree Documentation Pro-gramrdquo (49901212) to keep adulterated and misbranded pharmaceuticals from consumers

Intent - To determine the effectiveness of the ldquoPedigree Documentation Pro-gramrdquo in achieving its purpose

Resolution Adopted

22 | f L O r i d a p h a r m a C y T O d a y

sion forward Please join us in Talla-hassee next March

FPA Legislative Key Contact Network

The FPA legislative Committee would like to match up at least one pharmacist with every key legisla-tor in the state If you currently have a relationship with one of your state legislators or if you are willing to take the steps listed above to be one of our grassroots advocates we want to know sign up to be a member of our Key legislative Contacts If you can help please let us know by con-tacting any member of the legisla-tive Committee listed below or you may contact me directly at klwizcomcastnet

lastly your legislative Commit-tee deserves a BIG ldquoThank Yourdquo for their time and effort These mem-bers have stepped up to help our profession grow and prosper Fol-lowing is a list of the members of the 2009-2010 FPA legislative Commit-teeDavid AndrewsDon BergemannGary DalinMitchell FingerhutAmy FerrolRamy GabrielMark HobbsMichael JacksonHumberto MartinezMark PercifieldManny PrieguezAlexander PytlarzTeysha RichardsonWilliam RiffeeTheresa Tollenorman TomakaAmanda Waltemathlori WeemsKaren WhalenRobert WilburChristine Yocum

Ken Wisniewski2009-2010 legislative Committee Chair

Viewpoint continued from page 5Respectfully submitted

Alachua County Association of Phar-macists

RESOLUTION 8

Continuous quality Improvement Program-Program EvaluationAlachua County Association of Phar-macists

Whereas the CQI Program is a system of standards and procedures to identify and evaluate quality-related events and improve patient care

Whereas some of the main goals of FPA and the Board of Pharmacy is to improve patient care and safety

Whereas an evaluation of the CQI Pro-gram may identify improvements that could be incorporated into the pro-gram

Whereas information about patient safety practices obtained from the pro-gram evaluation would be helpful if shared with the pharmacists of Florida and the nation

Resolved that the FPA request the Flor-ida Board of Pharmacy to conduct a Program evaluation of the Continuous Quality Improvement Program (64B16-27300)

Problem- since the enactment of 64B16-27300 Continuous Quality Improve-ment (CQI) Program there has not been a program evaluation

Intent- The evaluation of the CQI Pro-gram for effectiveness

Respectfully submittedAlachua County Association of Phar-macists

Resolution Adopted

JOIN TODAY

Florida Pharmacy Association

O C T O B e r 2 0 0 9 | 23

RESOLUTION 1Pharmacy Manager in Charge Man-date rule changes for the State require to be on-site 24 hr perweekBroward County Pharmacist Associa-tion Whereas There is no statutory or rule requirement for a Manager in Charge to be present in the PharmacyWhereas over the last few years in-ternet practices and non-pharmacist owned pharmacies have flourished in practice settings that were poorly su-pervisedBe it Resolved that the FPA propose that the Florida Pharmacy Board pro-mulgate rules which safeguard the public by having a Responsible par-ty (Pharmacy Manager of Record) on premises 24 hrs per given weekContact Broward County Pharmacist AssocDaniel P sweet RPhPast President Board Member954-232-8202Intent To protect the public from non-pharmacist owners to influence the practice of pharmacy by placing a phar-macist on record without reviewing the day to day operations of Pharmacy Practice and its Rules and statuesResolution Not AdoptedRespectfully SubmittedBroward County Pharmacist Associa-tion

RESOLUTION 2

Repeal 40 hr Rule for Community Pharmacy PermitBroward County Pharmacist Associa-tion Whereas the Practice of Pharmacy is evolving to an Information Profession where pharmacists will be reviewing medication therapyWhereas in populated areas there are multiple pharmacies in a compact radi-usBe it Resolved that the Florida Board of Pharmacy act in repealing the 40 hr rule for Community Pharmacy Permit withstanding that there is a pharmacy within 5 miles with extended hours or a 24 hr pharmacy within 2 milesContact

Daniel P sweet RPhPast President Board Member Broward County Pharmacist Assoc954-232-8202 Intent With Pharmacy Practice evolv-ing with more Pharmacists are going to use there education to create office type practice The Pharmacist will need to be off-site to review medications and council patients on the use of their medicationRespectfully SubmittedBroward County Pharmacist Associa-tion Motion to amendAmendment passedSpeaker unable to determine the posi-tion of the House on voice voteStanding vote called for by the House SpeakerResolution adopted on standing vote

RESOLUTION 3

Physician Dispensing ndash Limiting Scope as Pertains to Controlled Sub-stancesBroward County Pharmacists Associa-tionWhereas a significant problem regard-ing the misuse of controlled substances in our state has been identified andWhereas the checks and balances that the pharmacist brings to the equation of reducing the potential for misuse of controlled substances due to conflicts of interest is circumvented in the phy-sician dispensing model Be it Resolved that the FPA seek legis-lative changes to limit the in-office dis-pensing of controlled substances up to and not more than a three (3) day sup-ply Contact Broward County Pharmacists Associa-tionDaniel P sweet RPhPast President Board Member954-232-8202Motion to amend the phrase ldquowork with the respective BoardsrdquoAmendment is adoptedMotion to amend by adding the words ldquouprdquo and the words ldquoand not more thanrdquo to the first sentenceMotion to amend passes

Motion to amend by striking the last sentence of the resolveMotion to amend passesResolution AdoptedIntent With the advent of Pain Man-agement Clinics with Dispensaries Pa-tient safety and control is lost by not having a Pharmacist oversee the pa-tientsrsquo therapeutic management with-in the guidelines of the FDA and Con-trolled substance Abuse Act

RESOLUTION 4

Pharmacy Service TaxBroward County Pharmacists Associa-tionWhereas Pharmacy has assumed the burden of absorbing the costs associat-ed with receiving and sending data to all sourcesWhereas these costs continue to grow and are not associated with the cost of the product or filling fee received thenBe it Resolved that the FPA work with the proper legislative process for the state to create a TAX for prescriptions to cover all communication costs inher-ent in Rx processing for e-prescribing communications to PBMrsquos and data re-porting costs for handling in-state re-porting of Controlled substancesBe it Further Resolved that the col-lected tax be used only for Pharmacy Claims Administrative Costs in han-dling the claims and bear no economic andor administrative burdens on the pharmacyResolution Not AdoptedContact Broward County Pharmacists Associa-tionDaniel P sweet RPhPast President Board Member954-232-8202Intent With greater dependency on data network and associated costs to all pharmacies we have been placed in a pinch With the state controlling the process we gain on many fronts First no back-end costs on any Rx claim next the state can legally charge PBMrsquos un-der contract and will be responsible for collecting the tax and lastly the state can use their collective bargain-ing power to reduce the costs associat-

EmailFax Network HotlineReceive up-to-date and up-to-the-min-ute information on legislative Develop-ments Board of Pharmacy changes and other topics affecting the profession of pharmacy Call FPA Member services at (850) 222-2400 ext 110 ndash rsimmonspharmviewcom

Tax ResourceProvides defense and protection of your assets when you are audited Tax Resource will defend their clients for any income tax audit Federal or state for any tax year Tax Resource pio-neered the tax audit service business and is the largest audit defense firm in the United states Call (800) 92-AUDIT (800-922-8348)

Atlantic Coupon Redemption Center Receive payment in 25 working days of couponrsquos face value plus a rebate of 16 cents based on store volume Call Meredith McCord (800) 223-0398

Florida Commerce Federal Credit Union The chief objective of a credit union is not generating profits for stockholders but to provide service to its member The members benefit by getting attrac-tive returns on savings loans made at fair rates of interest plus enhanced and expanded services This is probably one of the best deals around Call (850) 488-0035

Collection Services For past due accounts call I C system Inc Call (800) 328-9595

Other Member Benefits n Discounted Continuing education

Programsn Monthly Issues of the Florida Phar-

macy Today Journal

ITC Deltacom offering FPA members exclusive associa-tion discounts on telecommunication ser-vices including local services long dis-tance data networks telephone systems and dedicated internet access Call 850-701-3200 or visit wwwitcdeltacomcom

Pharmacy Resource Materials FPA provides the most recent and rele-vant resources necessary to meet your professional needs This includes the Continuous Quality Improvement Manu-al Controlled substance Inventory Book-lets and Pharmacy signs Please call FPA Members services for more information 850-222-2400 ext 110

FPA Website Visit our FPA Website at wwpharmviewcom The site launched in December 2004 and revised in october 2008 includes a members only section The website of-fers a secure server so that you can reg-isters for Ce programs renew your mem-bership or purchase resources materials with your credit card

in keeping with a tradition of offering our members real benefits the Florida Pharmacy association (FPa) is proud to announce the introduction of sponsored discount Benefits Program these vendors are dedicated to providing an excellent value to all FPa members and associates to take advantage of benefits contact the vendors directly at the numbers listed below and identify yourself as a FPa member and have your membership id number handy

MEMBERSHIP MATTERS

Florida Pharmacy Association

24 | f L O r i d a p h a r m a C y T O d a y

Wyeth Bowl of Hygeia

Awarded to a pharmacist for out-standing community service above and beyond professional duties The use of the following selection criteria is re-quired

The recipient must be a Florida li- n

censed pharmacist and a member of FPAThe recipient must be living Awards n

are not presented posthumouslyThe recipient has not previously re- n

ceived the awardThe recipient is not currently serving n

nor has heshe served within the immediate past 2 years on its award committee or an officer of the asso-ciation in other than an ex officio ca-pacityThe recipient has compiled an out- n

standing record of community ser-vice which apart from hisher spe-cific identification as a pharmacist reflects well on the profession

James H Beal Award

Awarded to the Pharmacist of the Year The criteria established for this award is that the recipient be a Flori-da registered pharmacist and a mem-ber of FPA who has rendered outstand-ing service to pharmacy within the past five yearsCriteria

The recipient must be a Florida reg- n

istered pharmacist and a member of the FPAThe recipient has rendered outstand- n

ing service to pharmacy within the past five years

Technician of the Year AwardAwarded annually to a Florida

pharmacy technician who is recog-nized for hisher outstanding perfor-mance and achievement during hisher career

Criteria

Candidate must be a member of n

the Florida Pharmacy Association for at least 2 yearsCandidate must have demonstrat- n

ed contributions and dedication to the advancement of pharmacy technician practiceCandidate must have demonstrat- n

ed contributions to the Florida Pharmacy Association andor oth-er pharmacy organizationsCandidate must have demonstrat- n

ed commitment to community ser-viceCandidate is not a past recipient of n

this award

RQ Richards Award

This award is based on outstanding achievement in the field of pharmaceu-tical public relations in FloridaCriteria

The recipient must be a Florida reg- n

istered pharmacist and a member of the FPAThe recipient has displayed out- n

standing achievement in the field of pharmaceutical public relations in Florida

Frank TobackAZO Consultant

Pharmacist Award

CriteriaCandidate must be an FPA member n

registered with the Florida Board of Pharmacy as a consultant pharma-cist in good standingCandidate should be selected based n

on their outstanding achievements in the field of consultant pharmacy

DCPA Sidney Simkowitz

Pharmacy Involvement Award

Presented annually to a Florida pharmacist who has been active at the local and state pharmacy association level in advancement of the profes-sion of pharmacy in Florida

CriteriaA minimum of five years of active n

involvement in and contributions to the local association and FPACandidate must have held office at n

local level pharmacy associationMember in good standing for a pe- n

riod of at least five years in the FPA and must have served as a member or chairman of a committee of the associationCandidate must have been active- n

ly involved in a project that has or could potentially be of benefit to members of the profession

Pharmacists Mutual Companies

Distinguished Young Pharmacist

Award

Awarded to a young pharmacist for their involvement and dedication to the practice of pharmacyCriteria

licensed to practice for nine (9) years n

or lesslicensed to practice in the state in n

which selectedParticipation in national pharmacy n

association professional programs andor community service

IPA Roman Maximo Corrons

Inspiration amp Motivation Award

Interamerican Pharmacists Association created this award to honor the memo-ry of Roman M Corrons who inspired and motivated countless pharmacists to participate actively and aspire to take on leadership roles in their profession Roman was always there with guidance and support that motivated pharma-cists and encouraged visionary leader-ship approachable active membership and succession planning This award recognizes the motivators among us who inspire others to continue to ad-vance the professionCriteria

C a L L f O r N O m i N a T i O N s F P A A W A R D S 2 0 0 9 - 2 0 1 0

O C T O B e r 2 0 0 9 | 25

DEADLINE FOR NOMINATIONS FEBRUARY 28 2010

The recipient must be a Florida li- n

censed Pharmacist and a member of the FPACandidate should motivate others n

to excel within the profession by en-couraging them to be leadersCandidate is not necessarily an as- n

sociation officer but guides sup-ports andor inspires others

A brief description on the candidatersquos motivationalinspirational skills must accompany the nomination

The Jean Lamberti

Mentorship Award

The Jean lamberti Mentorship Award was established in 1998 to hon-or those pharmacists who have taken time to share their knowledge and ex-

perience with pharmacist candidates The award is named in honor of long time FPA member Jean lamberti for her effort in working with pharmacy studentsCriteria

The recipient must be an FPA mem- n

berThe recipient must serve as a role n

model for the profession of pharmacy

Innovative Pharmacy Practice

Award

Awarded to honor practicing phar-macists who have demonstrated inno-vation in pharmacy practice that has resulted in improved patient careCriteria

The recipient has demonstrated inno- n

vative pharmacy practice resulting in improved patient careThe recipient should be a practic- n

ing pharmacist within the geograph-ic area represented by the presenting Association

Qualified nominee A pharmacist prac-ticing within the geographic area repre-sented by the presenting Association

I AM PLEASED TO SUBMIT THE FOLLOWING NOMINATION

Name

Address

FOR THE FOLLOWING AWARD

(Nomination Deadline February 28 2009)

Wyeth Bowl of Hygeia Award

James H Beal Award

RQ Richards Award

Frank TobackAZO Consultant Pharmacist Award

DCPA Sydney Simkowitz Award

Pharmacists Mutual Co Distinguished Young Pharmacist Award

Academy of Pharmacy Practice Practitioner Merit Award

The Jean Lamberti Mentorship Award

IPA Roman Maximo Corrons Inspiration amp Motivation Award

Innovative Pharmacy Practice Award

Technician of the Year Award

NOMINATED BY

Name

Date Submitted

Signature

Please describe briefly below the nominees accomplishments indicating why you feel he or she should receive this award (Attach additional sheets if necessary)

C a L L f O r N O m i N a T i O N s F P A A W A R D S 2 0 0 9 - 2 0 1 0

F P A A W A R D S N O M I N A T I O N F O R M

mail nominatons to annual awards Florida Pharmacy association 610 n adams st tallahassee Fl 32301(850) 222-2400 FaX (850) 561-6758 dEadlinE For nominations is FEBrUary 28 2010

26 | f L O r i d a p h a r m a C y T O d a y

CALL FOR RESOLUTIONS TO THE 2010 HOUSE OF DELEGATES

The House of Delegates Board of Directors will meet in March 2010 to review and approve resolu-tions for the Annual Meeting The deadline for submitting resolutions is March 15 2010 PleAse noTe THIs DeADlIne

The following information will be needed when submitting resolutions

1 name of organization The name of the organization submitting the resolutions(s)2 name and telephone number of individuals A contact in the event clarification or further in-

formation is needed 3 Problem A statement of the problem addressed by the resolution4 Intent A statement of what passage of the resolution will accomplish5 Resolution Format (please type and use double spacing)

TiTle of ResoluTion

name of oRganizaTion

WheReas and

WheReas

TheRefoRe be iT

Resolved (ThaT The fPa oR subdivision of fPa)

ConTaCT name and Phone

PRoblem

inTenT

Page 15: October 2009 Florida Pharmacy Journal

O C T O B e r 2 0 0 9 | 15

pandemicfluindexhtml)Review human resources policies to make sure that poli- n

cies and practices are consistent with public health rec-ommendations and are consistent with existing state and federal workplace laws (for more information on employ-er responsibilities employers should visit the Department of laborrsquos and the equal employment opportunity Com-missionrsquos websites at wwwdolgov and wwweeocgov)Allow employees to stay home if they are ill have to care n

for ill family members or must watch their children if schools or childcare facilities closeexplore whether you can establish policies and practices n

such as flexible worksites (eg telecommuting) and flex-ible work hours (eg staggered shifts) when possible to increased the physical distance among employees and be-tween employees and others if local public health author-ities recommend the use of social distancing strategies ensure that you have the information technology and in-frastructure needed to support multiple workers who may be able to work from homeIdentify essential business functions essential jobs or n

roles and critical elements within your supply chains (eg raw materials suppliers subcontractor servicesproducts and logistics) required to maintain business op-erations Plan for how your business will operate if there is increasing absenteeism or these supply chains are inter-ruptedset up authorities triggers and procedures for activat- n

ing and terminating the companyrsquos response plan alter-ing business operations (eg possibly changing or closing operations in affected areas) and transferring business knowledge to key employees Work closely with your lo-cal health officials to identify these triggersPlan to minimize exposure to fellow employees or the n

public if public health officials call for social distancingestablish a process to communicate information to work- n

ers and business partners on your 2009 H1n1 influenza response plans and latest 2009 H1n1 influenza informa-tion Anticipate employee fear anxiety rumors and mis-information and plan communications accordingly

over the past several years HHs CDC DHs osHA eeoC and other federal partners have developed guidelines including checklists to assist businesses industries and oth-er employers in planning for a pandemic outbreak Review these resources to assist in your planning efforts wwwflugovplanworkplaceplanningindexhtml

The recommendations that follow provide guidance on how employers can develop strategies and respond to two levels of severity local conditions will influence the deci-sions that public health officials make regarding community-level strategies employers should take the time now to learn about plans in place in each community where they have a presence

Recommended Employer Responses for the 2009-2010 Flu SeasonRecommended Action Steps under Current Flu Conditions (similar severity as in SpringSummer 2009)

If the severity of illness in the fall and winter is similar to that observed in the spring and summer of 2009 the effects of 2009 H1n1 influenza may not have substantial impacts on absenteeism though some increase in absenteeism over the spring season is anticipated When larger numbers of people become ill correspondingly larger numbers of people will be-come seriously ill and may require hospitalization

SICK PERSONS SHOuLD STAY HOMEAdvise workers to be alert to any signs of fever and any n

other signs of influenza-like illness6 before reporting to work each day and notify their supervisor and stay home if they are ill employees who are ill should not travel while they are illCDC recommends that employees with influenza-like ill- n

ness remain at home until at least 24 hours after they are free of fever (100deg F [378deg C] or greater) or signs of a fever without the use of fever-reducing medicationsexpect sick employees to be out for about 3 to 5 days in n

most cases even if antiviral medications are usedensure that your sick leave policies are flexible and con- n

sistent with public health guidance and that employees are well aware of these policiesTalk with companies that provide your company with n

contract or temporary workers about the importance of sick workers staying home and encourage them to devel-op non-punitive leave policiesDo not require a doctorrsquos note for workers who are ill with n

influenza-like illness to validate their illness or to return to work as doctorrsquos offices and medical facilities may be extremely busy and may not be able to provide such doc-umentation in a timely way employees who are well but who have an ill family mem- n

ber at home with influenza can go to work as usual How-ever these employees should monitor their health every day and notify their supervisor and stay home if they be-come ill employers should maintain flexible policies that permit employees to stay home to care for an ill family member employers should be aware that more workers may need to stay at home to care for ill children or other ill family members than is usual

SICK EMPLOYEES AT WORK SHOuLD BE ASKED TO gO HOME

CDC recommends that workers who appear to have an n

influenza-like illness upon arrival or become ill during the day be promptly separated from other workers and be advised to go home until at least 24 hours after they are free of fever (100deg F [378deg C] or greater) or signs of a fever without the use of fever-reducing medications Those who become ill with symptoms of an influenza-like n

illness during the work day should be

16 | f L O r i d a p h a r m a C y T O d a y

o separated from other workers and asked to go home promptly (For recommendations on personal protec-tive equipment for a person assisting the ill employee see Interim Recommendations for Facemask and Res-pirator Use to Reduce novel Influenza A (H1n1) Vi-rus Transmission httpwwwcdcgovh1n1flumaskshtm)

o When possible and if they can tolerate it workers with influenza-like illness should be given a surgical mask to wear before they go home if they cannot be placed in an area away from others

If an employee becomes ill at work inform fellow employ- n

ees of their possible exposure in the workplace to influen-za-like illness but maintain confidentiality as required by the Americans with Disabilities Act (ADA) For more in-formation on privacy issues please refer to httpwwwflugovfaqworkplace_questionsequal_employmentin-dexhtmlPrivacyIssues employees exposed to a sick co-worker should monitor themselves for symptoms of influ-enza-like illness and stay home if they are sick

COVER COugHS AND SNEEzESInfluenza viruses are thought to spread mainly from per- n

son to person in respiratory droplets of coughs and sneez-es Provide employee messages on the importance of cov-ering coughs and sneezes with a tissue or in the absence of a tissue onersquos sleeve Place posters in the worksite that encourages cough and sneeze etiquetteProvide tissues and no-touch disposal receptacles for use n

by employees

IMPROVE HAND HYgIENEInfluenza may be spread via contaminated hands In- n

struct employees to wash their hands often with soap and water or use an alcohol-based hand cleaner especially af-ter coughing or sneezing Place posters in the worksite that encourage hand hygieneProvide soap and water and alcohol-based hand sanitiz- n

ers in the workplace ensure that adequate supplies are maintained If feasible place hand sanitizers in multiple locations or in conference rooms to encourage hand hy-giene

CLEAN SuRFACES AND ITEMS THAT ARE MORE LIKELY TO HAVE FREquENT HAND CONTACT

Frequently clean all commonly touched surfaces in the n

workplace such as workstations countertops and door-knobs Use the cleaning agents that are usually used in these areas and follow the directions on the labelno additional disinfection beyond routine cleaning is rec- n

ommendedENCOuRAgE EMPLOYEES TO gET VACCINATED

encourage your employees to get vaccinated for seasonal n

influenza For information on groups prioritized for sea-sonal influenza vaccines please see httpwwwcdcgovfluprotectkeyfactshtm encourage your employees also to get vaccinated for 2009 n

H1n1 influenza when vaccines are available to them Dif-ferent groups are prioritized for 2009 H1n1 influenza than for seasonal influenza For information on groups prioritized for H1n1 influenza vaccine please see httpwwwcdcgovh1n1fluvaccinationaciphtm offer opportunities at your worksite for influenza vacci- n

nation Consider granting employees time off from work to get vaccinated if not offered at the worksiteReview the health benefits you offer employees and work n

with insurers to explore if they can cover the costs of in-fluenza vaccination

TAKE MEASuRES TO PROTECT EMPLOYEES WHO ARE AT HIgHER RISK FOR COMPLICATIONS OF INFLuENzA

People at higher risk for complications from influenza in- n

clude pregnant women children under 5 years of age adults and children who have chronic lung disease (such as asthma) heart disease diabetes diseases that suppress the immune system and other chronic medical conditions and those who are 65 years or older7 Inform employees that some people are at higher risk of n

complications from influenza and that if they are at high-er risk for complications they should check with their health care provider if they become ill early treatment with antiviral medications is very important for people at high risk because it can prevent hospitalizations and deathsencourage employees recommended for seasonal influ- n

enza vaccine and 2009 H1n1 vaccines to get vaccinated as soon as these vaccines are available For information on groups prioritized for seasonal and H1n1 vaccines please see httpwwwcdcgovfluprotectkeyfactshtm and httpwwwcdcgovh1n1fluvaccinationaciphtmemployees who become ill and are at increased risk of n

complications from influenza and ill employees who are concerned about their illness should call their health care provider for advice Their health care provider might want them to take antiviral medications to reduce the likelihood of severe complications from the influenzasee n httpwwwcdcgovh1n1fluqahtm for more infor-mation

PREPARE FOR INCREASED NuMBERS OF EMPLOYEE ABSENCES DuE TO ILLNESS IN EMPLOYEES AND THEIR FAMILY MEMBERS AND PLAN WAYS FOR ESSENTIAL BuSINESS FuNCTIONS TO CONTINuE

employers should plan to monitor and respond to ab- n

senteeism at the workplace Implement plans to contin-ue your essential functions in case you experience high-er than usual absenteeism elevated absentee rates can be due to sick workers those who need to stay home and care for others or from workers with conditions that make them at higher risk for complications from influen-za and who may be worried about coming to work Cross-train personnel to perform essential functions so n

that the workplace is able to operate even if key staff are absent

O C T O B e r 2 0 0 9 | 17

Assess your essential functions and the reliance that oth- n

ers and the community have on your services or products Be prepared to change your business practices if need-ed to maintain critical operations (eg identify alternative suppliers prioritize customers or temporarily suspend some of your operations if needed)

ADVISE EMPLOYEES BEFORE TRAVELINg TO TAKE CERTAIN STEPS

Advise workers to check themselves for fever and any n

other signs of influenza-like illness before starting travel and notify their supervisor and stay home if they are illAdvise employees who will be traveling or on temporary n

assignment about precautions they may need to take to protect their health and who to call if they become illemployees who become ill while traveling and are at in- n

creased risk of complications from influenza and oth-ers concerned about their illness should promptly call a health care provider for adviceensure employees who become ill while traveling or on n

temporary assignment understand that they should noti-fy their supervisor If outside the United states ill employees should fol- n

low your companyrsquos policy for obtaining medical care or contact a health care provider or overseas medical assis-tance company to assist them with finding an appropriate health care provider in that country if needed A Us con-sular officer can help locate health care services However Us embassies consulates and military facilities do not have the legal authority capability and resources to evac-uate or give medications vaccines or medical care to pri-vate Us citizens overseassee CDCrsquos Travel Website ( n httpwwwncdcgovtrav-elcontentnovel-h1n1-fluaspx) for more information for travelers

PREPARE FOR THE POSSIBILITY OF SCHOOL DISMISSAL OR TEMPORARY CLOSuRE OF CHILD CARE PROgRAMS

Although school dismissals or closures of child care pro- n

grams are not likely to be generally recommended at this level of severity they are possible in some jurisdictions Be prepared to allow workers to stay home to care for n

children if schools are dismissed or child care programs are closed strongly recommend that parents not bring their children n

with them to work while schools are dismissedensure that your leave policies are flexible and non-puni- n

tive Cross-train employees to cover essential functions n

Read CDCrsquos Guidance for state and local Public Health n

officials and school Administrators for school (K-12) Re-sponses which can be found at httpwwwcdcgovh1n-1fluschoolsschoolguidancehtm to better understand the conditions under which schools may be dismissed

Under Conditions with Increased Severity Compared to SpringSummer 2009

If 2009 H1n1 becomes more severe than during springsummer 2009 absenteeism will likely be far greater and ad-ditional protective measures to slow the spread of influenza may be considered Check with your local health department for the extent and severity of disease activity in your commu-nity and for recommendations for necessary measures Deci-sions about what tools should be used during a severe 2009 H1n1 outbreak should be based on the observed severity of the event its impact on specific subpopulations the need to protect workers the expected benefit of the interventions the feasibility of success of implementing these measures the di-rect and indirect costs of different interventions and the ef-fects on critical infrastructure health care delivery and soci-ety The following are measures that should be considered if influenza severity increases and are meant for use in addition to the measures outlined above

CONSIDER ACTIVE SCREENINg OF EMPLOYEES WHO REPORT TO WORK

If influenza severity increases at the beginning of the n

workday or with each new shift all employees should be asked about symptoms consistent with an influenza ill-ness8 such as fever or chills AnD cough or sore throat If the severity or the impact of influenza increases CDC rec-ommends that persons with an influenza-like illness not come to work or travel and remain at home for at least 7 days even if symptoms resolve sooner Individuals who are still sick 7 days after they become ill should continue to stay home until at least 24 hours after symptoms have resolved If influenza severity increases CDC recom-mends that people stay home at least 7 days whether or not antiviral medications are usedMake sure your sick leave policies are flexible and consis- n

tent with public health guidance and that your employ-ees are aware of these policies Do not require a doctorrsquos note for workers who are ill with n

influenzaContinue to advise workers to check for any signs of ill- n

ness before reporting to work each dayMake contingency plans for increased absenteeism n

caused by illness in workers or illness in workersrsquo family members that would require them to stay home Planning for absenteeism could include cross-training current em-ployees or hiring temporary workers

CONSIDER ALTERNATIVE WORK ENVIRONMENTS FOR EMPLOYEES AT HIgHER RISK FOR COMPLICATIONS OF INFLuENzA DuRINg PERIODS OF INCREASED INFLuENzA ACTIVITY IN THE COMMuNITY

employees with an underlying chronic medical condition n

or who are pregnant should consider calling their health care provider for advice about how to reduce their risk of exposure to influenza and if they get sick how best to get early treatment for influenzaIf influenza severity increases and if influenza transmis- n

sion is high in the community employers may want to evaluate their work environment to see how they can re-

18 | f L O r i d a p h a r m a C y T O d a y

duce the number of people that high-risk employees come in contact with such as exploring options for telecom-muting from home (if feasible) employers can also think about how workers at higher risk for influenza compli-cations could be reassigned to duties that have minimal contact with other employees clients or customers If these workers cannot be reassigned duties to reduce con-tact with others are concerned about their ability to avoid influenza at the workplace or will be in crowded condi-tions at work or while commuting to work then consider allowing employees at higher risk for influenza complica-tions to stay home from workCDC recommends that ill workers at higher risk of com- n

plications from influenza seek early treatment if they be-come illsee n httpwwwcdcgovh1n1fluqahtm for more infor-mation

CONSIDER INCREASINg SOCIAL DISTANCINg IN THE WORKPLACE

If influenza severity increases local public health offi- n

cials may recommend that employers implement mea-sures to increase the physical distance between people in the workplace to reduce the spread of influenza The goal should be for there to be at least 6 feet of distance between people at most times This is not a simple or easy strategy and would typically require considerable flexibility These measures may include avoiding crowded work settings canceling business-related face-to-face meetings spacing workers farther apart canceling non-essential travel in-creasing use of teleworking and using staggered shifts to allow fewer workers to be in the workplace at the same time9

If appropriate for your type of business and feasible re- n

view or develop policies for teleworking including an as-sessment of the capabilities and gaps of your current com-puter systems and availability of technical support Take remedial steps if needed and test your system in advance to assure it can handle an increase in remote usersRecommendations to increase social distancing may af- n

fect community functioning Because supply chain issues may be affected make sure you have plans for back-up suppliers

CONSIDER CANCELINg NON-ESSENTIAL BuSINESS TRAVEL AND ADVISINg EMPLOYEES ABOuT POSSIBLE DISRuPTIONS WHILE TRAVELINg OVERSEAS

If the severity of the outbreak worldwide increases in the n

fall or winter public health officials may recommend so-cial distancing strategies which include canceling non-es-sential travel and travel restrictions may be enacted by some countries which may limit the ability of employees to return home if they become ill while on travel statusIf influenza severity increases travelers should also be n

prepared for travel delays health screenings and other activities targeted towards travelers Provide information to travelers about contingency plans and how their travel

can be rebooked for these possible delays

PREPARE FOR SCHOOL DISMISSAL OR CLOSuRE OF CHILD CARE PROgRAMS

school dismissals and closure of child care programs are n

more likely at higher levels of severity Be prepared to allow workers to stay home to care for their children if schools are dismissed or child care programs are closed If dismissal is needed schools are being advised to dis-miss students for at least 5 to 7 calendar days or longer if necessary encourage employees who perform essential functions n

and who have children to plan for contingencies should local child care programs close or schools dismiss stu-dents Be prepared for prolonged absenteeism if schools dismiss n

students for an extended time Make sure your leave poli-cies are flexible and non-punitive employers should strongly recommend that parents not n

bring their children with them to work while schools are dismissedImplement flexible workplace policies like teleworking n

and staggered shifts Cross-train employees to cover essential functions n

Read CDCrsquos school guidance which can be found at n

httpwwwcdcgovh1n1fluschoolsschoolguidancehtm to better understand the conditions under which schools may be dismissed

OTHER CONSIDERATIONSAs part of their comprehensive pandemic planning n

some public and private sector employers have stock-piled or otherwise arranged for influenza antiviral drugs to be available for their employees during a pandemic To guide these efforts HHs released guidance to busi-nesses in 2008 entitled Considerations for Antiviral Drug Stockpiling by Employers in Preparation for an Influenza Pan-demic (httpwwwflugovvaccineantiviral_employershtml) see updated interim guidance on the use of antivi-ral agents for treatment and prophylaxis of 2009 H1n1 in-fluenza infection at httpwwwcdcgovh1n1flurecom-mendationshtmemployers should be aware that the severity of 2009 n

H1n1 influenza could change rapidly therefore local public health recommendations to communities and busi-nesses could be revised quickly Planners should identi-fy sources of timely and accurate information so they are aware of changes to recommendations and can promptly implement revised or additional measures recommended by local public health officials

O C T O B e r 2 0 0 9 | 19

The Florida Pharmacy Association 2009 ResolutionsPresented to the House of Delegates

It is an honor to serve as your 2009-2010 FPA speaker of the House of Delegates I have the privilege of follow-ing in the footsteps of some of FPArsquos most effective and prominent leaders and speakers including most recently suzanne Kelly

The House meeting held during the 2009 FPA An-nual Meeting in st Augustine was a lively and exciting meeting for our association If you missed the meeting or unaware of how the FPA House of Delegates serves itrsquos membership I strongly encourage you to contact myself directly or any of the FPA House of Delegates Board of Di-rectors Any one of us will be happy to get you involved and excited about this group and share with you how ev-ery resolution directly impacts the direction of the associ-ation and you its member

The FPA Board of Directors of the House of Delegates is made up of the following faithful memberssuzanne Kelly ndash Chair of the House of Delegates Board

of DirectorsAlexander Pytlarz ndash speaker of the House of DelegatesWilliam Riffee ndash Vice-speakershannon Zandy ndash DirectorCaridad Ferree ndash DirectorJosh Fields ndash Director Karen Whalen ndash FPA PresidentHumberto Martinez ndash FPA President-electMichael A Mone ndash ParliamentarianMichael A Jackson ndash FPA executive Vice President amp

Ceoon behalf of the House Board of Directors Irsquod like to

welcome the newest members of the House Board of Di-

rectors Dean William Riffee Vice-speaker and Caridad Ferree Director were elected at this years FPA Annual Meeting We look forward to their involvement

The House also had the privilege of introducing two new invited organizations to the House They are nige-rian Pharmacists Association and Florida Independent Pharmacy network

If any member represents an organization that wants to be involved in the House of Delegates please contact me directly I will be happy to work with you and your or-ganization so you are represented within the House and have your voice heard by all FPA members

At this past yearrsquos meeting the House reviewed eight submitted resolutions Below is a summary of the actions of the each resolution that the House took and to what committee the adopted resolutions were referred to by your President Karen Whalen Please review these reso-lutions as they will impact the policies and direction of our association If you have any comments or questions please feel free to contact me or any member of the House Board As always itrsquos never too early to start thinking about possible resolutions for next years House

Thank you for the opportunity to serve you and the Florida Pharmacy Association

Best regards

Alexander Pytlarz2009-2010 speaker of the House of Delegates

RESOLUTION 1

Pharmacy Manager in Charge Man-date rule changes for the State require to be on-site 24 hr perweekBroward County Pharmacist Associa-tion

Whereas There is no statutory or rule requirement for a Manager in Charge to be present in the Pharmacy

Whereas over the last few years in-ternet practices and non-pharmacist owned pharmacies have flourished in practice settings that were poorly su-pervised

Be it Resolved that the FPA propose that the Florida Pharmacy Board pro-mulgate rules which safeguard the public by having a Responsible par-ty (Pharmacy Manager of Record) on

premises 24 hrs per given week

Contact Broward County Pharmacist AssocDaniel P sweet RPhPast President Board Member954-232-8202

Intent To protect the public from non-pharmacist owners to influence the practice of pharmacy by placing a phar-

20 | f L O r i d a p h a r m a C y T O d a y

macist on record without reviewing the day to day operations of Pharmacy Practice and its Rules and statues

Resolution not Adopted

Respectfully submitted

Broward County Pharmacist Associa-tion

RESOLUTION 2

Repeal 40 hr Rule for Community Pharmacy PermitBroward County Pharmacist Associa-tion

Whereas the Practice of Pharmacy is evolving to an Information Profession where pharmacists will be reviewing medication therapy

Whereas in populated areas there are multiple pharmacies in a compact radi-us

Be it Resolved that the Florida Board of Pharmacy act in repealing the 40 hr rule for Community Pharmacy Permit withstanding that there is a pharmacy within 5 miles with extended hours or a 24 hr pharmacy within 2 miles

Contact Daniel P sweet RPhPast President Board Member Broward County Pharmacist Assoc954-232-8202

Intent With Pharmacy Practice evolv-ing with more Pharmacists are going to use there education to create office type practice The Pharmacist will need to be off-site to review medications and council patients on the use of their medication

Respectfully submittedBroward County Pharmacist Associa-tion

Motion to amendAmendment passedspeaker unable to determine the posi-

tion of the House on voice votestanding vote called for by the House speakerResolution adopted on standing vote

RESOLUTION 3

Physician Dispensing ndash Limiting Scope as Pertains to Controlled Sub-stancesBroward County Pharmacists Associa-tion

Whereas a significant problem regard-ing the misuse of controlled substances in our state has been identified and

Whereas the checks and balances that the pharmacist brings to the equation of reducing the potential for misuse of controlled substances due to conflicts of interest is circumvented in the phy-sician dispensing model

Be it Resolved that the FPA seek legis-lative changes to limit the in-office dis-pensing of controlled substances up to and not more than a three (3) day sup-ply Contact Broward County Pharmacists AssociationDaniel P sweet RPhPast President Board Member954-232-8202

Motion to amend the phrase ldquowork with the respective BoardsrdquoAmendment is adoptedMotion to amend by adding the words ldquouprdquo and the words ldquoand not more thanrdquo to the first sentenceMotion to amend passesMotion to amend by striking the last sentence of the resolveMotion to amend passesResolution Adopted

Intent With the advent of Pain Man-agement Clinics with Dispensaries Pa-tient safety and control is lost by not having a Pharmacist oversee the pa-tientsrsquo therapeutic management with-in the guidelines of the FDA and Con-trolled substance Abuse Act

RESOLUTION 4

Pharmacy Service TaxBroward County Pharmacists Associa-tion

Whereas Pharmacy has assumed the burden of absorbing the costs associat-ed with receiving and sending data to all sources

Whereas these costs continue to grow and are not associated with the cost of the product or filling fee received then

Be it Resolved that the FPA work with the proper legislative process for the state to create a TAX for prescriptions to cover all communication costs inher-ent in Rx processing for e-prescribing communications to PBMrsquos and data re-porting costs for handling in-state re-porting of Controlled substances

Be it Further Resolved that the col-lected tax be used only for Pharmacy Claims Administrative Costs in han-dling the claims and bear no economic andor administrative burdens on the pharmacy

Resolution not Adopted

Contact Broward County Pharmacists AssociationDaniel P sweet RPhPast President Board Member954-232-8202

Intent With greater dependency on data network and associated costs to all pharmacies we have been placed in a pinch With the state controlling the process we gain on many fronts First no back-end costs on any Rx claim next the state can legally charge PBMrsquos un-der contract and will be responsible for collecting the tax and lastly the state can use their collective bargain-ing power to reduce the costs associat-ed with data transmission

Respectfully submitted

Broward County Pharmacists Associa-tion

O C T O B e r 2 0 0 9 | 21

RESOLUTION 5

RPh Not a Degree Designationleon County Pharmacy Association

WHEREAS pharmacists with a PharmD degree very proudly and rightfully use their degree designation of PharmD with their name and

WHEREAS pharmacists with a BsP degree generally use RPh with their name and

WHEREAS the designation of RPh for Registered Pharmacist is not a degree designation and was enacted into the original Florida Pharmacy Practice Act of 1889 The current practice act defines a pharmacist as a licensed Pharmacist lPh

THEREFORE the leon County Phar-macy Association moves that the FPA promote the use of the BPharm desig-nation for the BsP degree in place of the RPh designation which no longer is ref-erenced in the Florida Pharmacy Prac-tice Act

Motion to amendMotion to amend failsResolution Adopted

Contact persons Michael A Jackson- (850) 222- 2400Jim Powers- (850) 422- 0079

Background The resolution pretty well speaks for itself however it should be noted that in most national pharmacy publications pharmacists with a BsP degree are using the BPharm designa-tion behind their names In research-ing Dr Gene Gramlingrsquos book ldquoA His-tory of Pharmacy in Floridardquo it has the Florida Pharmacy Practice Act of 1889 which reads as follows section 4 Be it further enacted that the Board of Phar-macy shall register in a suitable book the names and places of residence of all persons to whom they issue certifi-cates and dates thereof It shall be the duty of said Board of Pharmacy to reg-ister without examination as registered pharmacists all pharmacists and drug-gists who are engaged in business in

the state of Florida at the passage of this act as owners or principals of stores or pharmacies In any village town or city of more than 200 inhabitants helliprdquo

RESOLUTION 6

Long Term Care regulatory frame-workFlorida Chapter of American society of Consultant Pharmacist

Whereas the Florida regulatory frame-work for long-term care pharmacy should be reviewed periodically to en-sure that it is consistent with current practice the FPA legislative commit-tee resolves to coordinate with the Flor-ida Chapter of the American society of Consultant Pharmacists to review the current regulatory framework for long-Term Care pharmacy in Florida

Resolved that the FPA legislative Committee coordinate with the Flori-da Chapter of the American society of Consultant Pharmacists to review the current regulatory framework for long-Term Care Pharmacy in Florida

Resolve substituted by the sponsor and accepted by the House substitute Resolution Adopted

Contact name and Phone stephen J Grabowski (727) 945-0760

Problem As the number of our nationrsquos seniors has grown so to have the de-mands and challenges placed upon the pharmacists serving those seniors who live in long-term care facilities since the practice of pharmacy has evolved over the years with increased workload demands changing roles of pharmacy technicians and new technologies so too have the regulatory guidelines and oversight responsibilities of the state boards

Intent not only will the practice of pharmacy need to adapt to the needs of seniors in long-term care facilities but state board of pharmacies and phar-macists under their preview must un-

derstand the impact of these changes Pharmacists practicing in long-term care must collaborate with state boards of pharmacy to update practice acts to ensure the protection of the health safety and welfare of the public

RESOLUTION 7

Evaluation of the ldquoPedigree Docu-mentation Programrdquo as stated in Flor-ida Statue 499Alachua County Association of Phar-macists

Whereas Florida statue 499 states that its purpose is to safeguard the public health and promote the public welfare by protecting the public from injury by product use and by merchandising de-ceit involving drugs devices and cos-metics

Whereas Pharmacies Pharmacists Pharmacy Wholesalers Pharmaceuti-cal Manufacturers and Pharmacy Re-packagers are all an integral part of this program

Whereas there is financial costs associ-ated with this program

Whereas there are penalties associated with this program

RESOLVED - The FPA request the Agency for Health Care Administra-tion to evaluate the ldquoPedigree Docu-mentation Programrdquo (49901212) to de-termine effectiveness and identification of improvements in the program for the protection of the public safety

Problem - The state of Florida enact-ed the ldquoPedigree Documentation Pro-gramrdquo (49901212) to keep adulterated and misbranded pharmaceuticals from consumers

Intent - To determine the effectiveness of the ldquoPedigree Documentation Pro-gramrdquo in achieving its purpose

Resolution Adopted

22 | f L O r i d a p h a r m a C y T O d a y

sion forward Please join us in Talla-hassee next March

FPA Legislative Key Contact Network

The FPA legislative Committee would like to match up at least one pharmacist with every key legisla-tor in the state If you currently have a relationship with one of your state legislators or if you are willing to take the steps listed above to be one of our grassroots advocates we want to know sign up to be a member of our Key legislative Contacts If you can help please let us know by con-tacting any member of the legisla-tive Committee listed below or you may contact me directly at klwizcomcastnet

lastly your legislative Commit-tee deserves a BIG ldquoThank Yourdquo for their time and effort These mem-bers have stepped up to help our profession grow and prosper Fol-lowing is a list of the members of the 2009-2010 FPA legislative Commit-teeDavid AndrewsDon BergemannGary DalinMitchell FingerhutAmy FerrolRamy GabrielMark HobbsMichael JacksonHumberto MartinezMark PercifieldManny PrieguezAlexander PytlarzTeysha RichardsonWilliam RiffeeTheresa Tollenorman TomakaAmanda Waltemathlori WeemsKaren WhalenRobert WilburChristine Yocum

Ken Wisniewski2009-2010 legislative Committee Chair

Viewpoint continued from page 5Respectfully submitted

Alachua County Association of Phar-macists

RESOLUTION 8

Continuous quality Improvement Program-Program EvaluationAlachua County Association of Phar-macists

Whereas the CQI Program is a system of standards and procedures to identify and evaluate quality-related events and improve patient care

Whereas some of the main goals of FPA and the Board of Pharmacy is to improve patient care and safety

Whereas an evaluation of the CQI Pro-gram may identify improvements that could be incorporated into the pro-gram

Whereas information about patient safety practices obtained from the pro-gram evaluation would be helpful if shared with the pharmacists of Florida and the nation

Resolved that the FPA request the Flor-ida Board of Pharmacy to conduct a Program evaluation of the Continuous Quality Improvement Program (64B16-27300)

Problem- since the enactment of 64B16-27300 Continuous Quality Improve-ment (CQI) Program there has not been a program evaluation

Intent- The evaluation of the CQI Pro-gram for effectiveness

Respectfully submittedAlachua County Association of Phar-macists

Resolution Adopted

JOIN TODAY

Florida Pharmacy Association

O C T O B e r 2 0 0 9 | 23

RESOLUTION 1Pharmacy Manager in Charge Man-date rule changes for the State require to be on-site 24 hr perweekBroward County Pharmacist Associa-tion Whereas There is no statutory or rule requirement for a Manager in Charge to be present in the PharmacyWhereas over the last few years in-ternet practices and non-pharmacist owned pharmacies have flourished in practice settings that were poorly su-pervisedBe it Resolved that the FPA propose that the Florida Pharmacy Board pro-mulgate rules which safeguard the public by having a Responsible par-ty (Pharmacy Manager of Record) on premises 24 hrs per given weekContact Broward County Pharmacist AssocDaniel P sweet RPhPast President Board Member954-232-8202Intent To protect the public from non-pharmacist owners to influence the practice of pharmacy by placing a phar-macist on record without reviewing the day to day operations of Pharmacy Practice and its Rules and statuesResolution Not AdoptedRespectfully SubmittedBroward County Pharmacist Associa-tion

RESOLUTION 2

Repeal 40 hr Rule for Community Pharmacy PermitBroward County Pharmacist Associa-tion Whereas the Practice of Pharmacy is evolving to an Information Profession where pharmacists will be reviewing medication therapyWhereas in populated areas there are multiple pharmacies in a compact radi-usBe it Resolved that the Florida Board of Pharmacy act in repealing the 40 hr rule for Community Pharmacy Permit withstanding that there is a pharmacy within 5 miles with extended hours or a 24 hr pharmacy within 2 milesContact

Daniel P sweet RPhPast President Board Member Broward County Pharmacist Assoc954-232-8202 Intent With Pharmacy Practice evolv-ing with more Pharmacists are going to use there education to create office type practice The Pharmacist will need to be off-site to review medications and council patients on the use of their medicationRespectfully SubmittedBroward County Pharmacist Associa-tion Motion to amendAmendment passedSpeaker unable to determine the posi-tion of the House on voice voteStanding vote called for by the House SpeakerResolution adopted on standing vote

RESOLUTION 3

Physician Dispensing ndash Limiting Scope as Pertains to Controlled Sub-stancesBroward County Pharmacists Associa-tionWhereas a significant problem regard-ing the misuse of controlled substances in our state has been identified andWhereas the checks and balances that the pharmacist brings to the equation of reducing the potential for misuse of controlled substances due to conflicts of interest is circumvented in the phy-sician dispensing model Be it Resolved that the FPA seek legis-lative changes to limit the in-office dis-pensing of controlled substances up to and not more than a three (3) day sup-ply Contact Broward County Pharmacists Associa-tionDaniel P sweet RPhPast President Board Member954-232-8202Motion to amend the phrase ldquowork with the respective BoardsrdquoAmendment is adoptedMotion to amend by adding the words ldquouprdquo and the words ldquoand not more thanrdquo to the first sentenceMotion to amend passes

Motion to amend by striking the last sentence of the resolveMotion to amend passesResolution AdoptedIntent With the advent of Pain Man-agement Clinics with Dispensaries Pa-tient safety and control is lost by not having a Pharmacist oversee the pa-tientsrsquo therapeutic management with-in the guidelines of the FDA and Con-trolled substance Abuse Act

RESOLUTION 4

Pharmacy Service TaxBroward County Pharmacists Associa-tionWhereas Pharmacy has assumed the burden of absorbing the costs associat-ed with receiving and sending data to all sourcesWhereas these costs continue to grow and are not associated with the cost of the product or filling fee received thenBe it Resolved that the FPA work with the proper legislative process for the state to create a TAX for prescriptions to cover all communication costs inher-ent in Rx processing for e-prescribing communications to PBMrsquos and data re-porting costs for handling in-state re-porting of Controlled substancesBe it Further Resolved that the col-lected tax be used only for Pharmacy Claims Administrative Costs in han-dling the claims and bear no economic andor administrative burdens on the pharmacyResolution Not AdoptedContact Broward County Pharmacists Associa-tionDaniel P sweet RPhPast President Board Member954-232-8202Intent With greater dependency on data network and associated costs to all pharmacies we have been placed in a pinch With the state controlling the process we gain on many fronts First no back-end costs on any Rx claim next the state can legally charge PBMrsquos un-der contract and will be responsible for collecting the tax and lastly the state can use their collective bargain-ing power to reduce the costs associat-

EmailFax Network HotlineReceive up-to-date and up-to-the-min-ute information on legislative Develop-ments Board of Pharmacy changes and other topics affecting the profession of pharmacy Call FPA Member services at (850) 222-2400 ext 110 ndash rsimmonspharmviewcom

Tax ResourceProvides defense and protection of your assets when you are audited Tax Resource will defend their clients for any income tax audit Federal or state for any tax year Tax Resource pio-neered the tax audit service business and is the largest audit defense firm in the United states Call (800) 92-AUDIT (800-922-8348)

Atlantic Coupon Redemption Center Receive payment in 25 working days of couponrsquos face value plus a rebate of 16 cents based on store volume Call Meredith McCord (800) 223-0398

Florida Commerce Federal Credit Union The chief objective of a credit union is not generating profits for stockholders but to provide service to its member The members benefit by getting attrac-tive returns on savings loans made at fair rates of interest plus enhanced and expanded services This is probably one of the best deals around Call (850) 488-0035

Collection Services For past due accounts call I C system Inc Call (800) 328-9595

Other Member Benefits n Discounted Continuing education

Programsn Monthly Issues of the Florida Phar-

macy Today Journal

ITC Deltacom offering FPA members exclusive associa-tion discounts on telecommunication ser-vices including local services long dis-tance data networks telephone systems and dedicated internet access Call 850-701-3200 or visit wwwitcdeltacomcom

Pharmacy Resource Materials FPA provides the most recent and rele-vant resources necessary to meet your professional needs This includes the Continuous Quality Improvement Manu-al Controlled substance Inventory Book-lets and Pharmacy signs Please call FPA Members services for more information 850-222-2400 ext 110

FPA Website Visit our FPA Website at wwpharmviewcom The site launched in December 2004 and revised in october 2008 includes a members only section The website of-fers a secure server so that you can reg-isters for Ce programs renew your mem-bership or purchase resources materials with your credit card

in keeping with a tradition of offering our members real benefits the Florida Pharmacy association (FPa) is proud to announce the introduction of sponsored discount Benefits Program these vendors are dedicated to providing an excellent value to all FPa members and associates to take advantage of benefits contact the vendors directly at the numbers listed below and identify yourself as a FPa member and have your membership id number handy

MEMBERSHIP MATTERS

Florida Pharmacy Association

24 | f L O r i d a p h a r m a C y T O d a y

Wyeth Bowl of Hygeia

Awarded to a pharmacist for out-standing community service above and beyond professional duties The use of the following selection criteria is re-quired

The recipient must be a Florida li- n

censed pharmacist and a member of FPAThe recipient must be living Awards n

are not presented posthumouslyThe recipient has not previously re- n

ceived the awardThe recipient is not currently serving n

nor has heshe served within the immediate past 2 years on its award committee or an officer of the asso-ciation in other than an ex officio ca-pacityThe recipient has compiled an out- n

standing record of community ser-vice which apart from hisher spe-cific identification as a pharmacist reflects well on the profession

James H Beal Award

Awarded to the Pharmacist of the Year The criteria established for this award is that the recipient be a Flori-da registered pharmacist and a mem-ber of FPA who has rendered outstand-ing service to pharmacy within the past five yearsCriteria

The recipient must be a Florida reg- n

istered pharmacist and a member of the FPAThe recipient has rendered outstand- n

ing service to pharmacy within the past five years

Technician of the Year AwardAwarded annually to a Florida

pharmacy technician who is recog-nized for hisher outstanding perfor-mance and achievement during hisher career

Criteria

Candidate must be a member of n

the Florida Pharmacy Association for at least 2 yearsCandidate must have demonstrat- n

ed contributions and dedication to the advancement of pharmacy technician practiceCandidate must have demonstrat- n

ed contributions to the Florida Pharmacy Association andor oth-er pharmacy organizationsCandidate must have demonstrat- n

ed commitment to community ser-viceCandidate is not a past recipient of n

this award

RQ Richards Award

This award is based on outstanding achievement in the field of pharmaceu-tical public relations in FloridaCriteria

The recipient must be a Florida reg- n

istered pharmacist and a member of the FPAThe recipient has displayed out- n

standing achievement in the field of pharmaceutical public relations in Florida

Frank TobackAZO Consultant

Pharmacist Award

CriteriaCandidate must be an FPA member n

registered with the Florida Board of Pharmacy as a consultant pharma-cist in good standingCandidate should be selected based n

on their outstanding achievements in the field of consultant pharmacy

DCPA Sidney Simkowitz

Pharmacy Involvement Award

Presented annually to a Florida pharmacist who has been active at the local and state pharmacy association level in advancement of the profes-sion of pharmacy in Florida

CriteriaA minimum of five years of active n

involvement in and contributions to the local association and FPACandidate must have held office at n

local level pharmacy associationMember in good standing for a pe- n

riod of at least five years in the FPA and must have served as a member or chairman of a committee of the associationCandidate must have been active- n

ly involved in a project that has or could potentially be of benefit to members of the profession

Pharmacists Mutual Companies

Distinguished Young Pharmacist

Award

Awarded to a young pharmacist for their involvement and dedication to the practice of pharmacyCriteria

licensed to practice for nine (9) years n

or lesslicensed to practice in the state in n

which selectedParticipation in national pharmacy n

association professional programs andor community service

IPA Roman Maximo Corrons

Inspiration amp Motivation Award

Interamerican Pharmacists Association created this award to honor the memo-ry of Roman M Corrons who inspired and motivated countless pharmacists to participate actively and aspire to take on leadership roles in their profession Roman was always there with guidance and support that motivated pharma-cists and encouraged visionary leader-ship approachable active membership and succession planning This award recognizes the motivators among us who inspire others to continue to ad-vance the professionCriteria

C a L L f O r N O m i N a T i O N s F P A A W A R D S 2 0 0 9 - 2 0 1 0

O C T O B e r 2 0 0 9 | 25

DEADLINE FOR NOMINATIONS FEBRUARY 28 2010

The recipient must be a Florida li- n

censed Pharmacist and a member of the FPACandidate should motivate others n

to excel within the profession by en-couraging them to be leadersCandidate is not necessarily an as- n

sociation officer but guides sup-ports andor inspires others

A brief description on the candidatersquos motivationalinspirational skills must accompany the nomination

The Jean Lamberti

Mentorship Award

The Jean lamberti Mentorship Award was established in 1998 to hon-or those pharmacists who have taken time to share their knowledge and ex-

perience with pharmacist candidates The award is named in honor of long time FPA member Jean lamberti for her effort in working with pharmacy studentsCriteria

The recipient must be an FPA mem- n

berThe recipient must serve as a role n

model for the profession of pharmacy

Innovative Pharmacy Practice

Award

Awarded to honor practicing phar-macists who have demonstrated inno-vation in pharmacy practice that has resulted in improved patient careCriteria

The recipient has demonstrated inno- n

vative pharmacy practice resulting in improved patient careThe recipient should be a practic- n

ing pharmacist within the geograph-ic area represented by the presenting Association

Qualified nominee A pharmacist prac-ticing within the geographic area repre-sented by the presenting Association

I AM PLEASED TO SUBMIT THE FOLLOWING NOMINATION

Name

Address

FOR THE FOLLOWING AWARD

(Nomination Deadline February 28 2009)

Wyeth Bowl of Hygeia Award

James H Beal Award

RQ Richards Award

Frank TobackAZO Consultant Pharmacist Award

DCPA Sydney Simkowitz Award

Pharmacists Mutual Co Distinguished Young Pharmacist Award

Academy of Pharmacy Practice Practitioner Merit Award

The Jean Lamberti Mentorship Award

IPA Roman Maximo Corrons Inspiration amp Motivation Award

Innovative Pharmacy Practice Award

Technician of the Year Award

NOMINATED BY

Name

Date Submitted

Signature

Please describe briefly below the nominees accomplishments indicating why you feel he or she should receive this award (Attach additional sheets if necessary)

C a L L f O r N O m i N a T i O N s F P A A W A R D S 2 0 0 9 - 2 0 1 0

F P A A W A R D S N O M I N A T I O N F O R M

mail nominatons to annual awards Florida Pharmacy association 610 n adams st tallahassee Fl 32301(850) 222-2400 FaX (850) 561-6758 dEadlinE For nominations is FEBrUary 28 2010

26 | f L O r i d a p h a r m a C y T O d a y

CALL FOR RESOLUTIONS TO THE 2010 HOUSE OF DELEGATES

The House of Delegates Board of Directors will meet in March 2010 to review and approve resolu-tions for the Annual Meeting The deadline for submitting resolutions is March 15 2010 PleAse noTe THIs DeADlIne

The following information will be needed when submitting resolutions

1 name of organization The name of the organization submitting the resolutions(s)2 name and telephone number of individuals A contact in the event clarification or further in-

formation is needed 3 Problem A statement of the problem addressed by the resolution4 Intent A statement of what passage of the resolution will accomplish5 Resolution Format (please type and use double spacing)

TiTle of ResoluTion

name of oRganizaTion

WheReas and

WheReas

TheRefoRe be iT

Resolved (ThaT The fPa oR subdivision of fPa)

ConTaCT name and Phone

PRoblem

inTenT

Page 16: October 2009 Florida Pharmacy Journal

16 | f L O r i d a p h a r m a C y T O d a y

o separated from other workers and asked to go home promptly (For recommendations on personal protec-tive equipment for a person assisting the ill employee see Interim Recommendations for Facemask and Res-pirator Use to Reduce novel Influenza A (H1n1) Vi-rus Transmission httpwwwcdcgovh1n1flumaskshtm)

o When possible and if they can tolerate it workers with influenza-like illness should be given a surgical mask to wear before they go home if they cannot be placed in an area away from others

If an employee becomes ill at work inform fellow employ- n

ees of their possible exposure in the workplace to influen-za-like illness but maintain confidentiality as required by the Americans with Disabilities Act (ADA) For more in-formation on privacy issues please refer to httpwwwflugovfaqworkplace_questionsequal_employmentin-dexhtmlPrivacyIssues employees exposed to a sick co-worker should monitor themselves for symptoms of influ-enza-like illness and stay home if they are sick

COVER COugHS AND SNEEzESInfluenza viruses are thought to spread mainly from per- n

son to person in respiratory droplets of coughs and sneez-es Provide employee messages on the importance of cov-ering coughs and sneezes with a tissue or in the absence of a tissue onersquos sleeve Place posters in the worksite that encourages cough and sneeze etiquetteProvide tissues and no-touch disposal receptacles for use n

by employees

IMPROVE HAND HYgIENEInfluenza may be spread via contaminated hands In- n

struct employees to wash their hands often with soap and water or use an alcohol-based hand cleaner especially af-ter coughing or sneezing Place posters in the worksite that encourage hand hygieneProvide soap and water and alcohol-based hand sanitiz- n

ers in the workplace ensure that adequate supplies are maintained If feasible place hand sanitizers in multiple locations or in conference rooms to encourage hand hy-giene

CLEAN SuRFACES AND ITEMS THAT ARE MORE LIKELY TO HAVE FREquENT HAND CONTACT

Frequently clean all commonly touched surfaces in the n

workplace such as workstations countertops and door-knobs Use the cleaning agents that are usually used in these areas and follow the directions on the labelno additional disinfection beyond routine cleaning is rec- n

ommendedENCOuRAgE EMPLOYEES TO gET VACCINATED

encourage your employees to get vaccinated for seasonal n

influenza For information on groups prioritized for sea-sonal influenza vaccines please see httpwwwcdcgovfluprotectkeyfactshtm encourage your employees also to get vaccinated for 2009 n

H1n1 influenza when vaccines are available to them Dif-ferent groups are prioritized for 2009 H1n1 influenza than for seasonal influenza For information on groups prioritized for H1n1 influenza vaccine please see httpwwwcdcgovh1n1fluvaccinationaciphtm offer opportunities at your worksite for influenza vacci- n

nation Consider granting employees time off from work to get vaccinated if not offered at the worksiteReview the health benefits you offer employees and work n

with insurers to explore if they can cover the costs of in-fluenza vaccination

TAKE MEASuRES TO PROTECT EMPLOYEES WHO ARE AT HIgHER RISK FOR COMPLICATIONS OF INFLuENzA

People at higher risk for complications from influenza in- n

clude pregnant women children under 5 years of age adults and children who have chronic lung disease (such as asthma) heart disease diabetes diseases that suppress the immune system and other chronic medical conditions and those who are 65 years or older7 Inform employees that some people are at higher risk of n

complications from influenza and that if they are at high-er risk for complications they should check with their health care provider if they become ill early treatment with antiviral medications is very important for people at high risk because it can prevent hospitalizations and deathsencourage employees recommended for seasonal influ- n

enza vaccine and 2009 H1n1 vaccines to get vaccinated as soon as these vaccines are available For information on groups prioritized for seasonal and H1n1 vaccines please see httpwwwcdcgovfluprotectkeyfactshtm and httpwwwcdcgovh1n1fluvaccinationaciphtmemployees who become ill and are at increased risk of n

complications from influenza and ill employees who are concerned about their illness should call their health care provider for advice Their health care provider might want them to take antiviral medications to reduce the likelihood of severe complications from the influenzasee n httpwwwcdcgovh1n1fluqahtm for more infor-mation

PREPARE FOR INCREASED NuMBERS OF EMPLOYEE ABSENCES DuE TO ILLNESS IN EMPLOYEES AND THEIR FAMILY MEMBERS AND PLAN WAYS FOR ESSENTIAL BuSINESS FuNCTIONS TO CONTINuE

employers should plan to monitor and respond to ab- n

senteeism at the workplace Implement plans to contin-ue your essential functions in case you experience high-er than usual absenteeism elevated absentee rates can be due to sick workers those who need to stay home and care for others or from workers with conditions that make them at higher risk for complications from influen-za and who may be worried about coming to work Cross-train personnel to perform essential functions so n

that the workplace is able to operate even if key staff are absent

O C T O B e r 2 0 0 9 | 17

Assess your essential functions and the reliance that oth- n

ers and the community have on your services or products Be prepared to change your business practices if need-ed to maintain critical operations (eg identify alternative suppliers prioritize customers or temporarily suspend some of your operations if needed)

ADVISE EMPLOYEES BEFORE TRAVELINg TO TAKE CERTAIN STEPS

Advise workers to check themselves for fever and any n

other signs of influenza-like illness before starting travel and notify their supervisor and stay home if they are illAdvise employees who will be traveling or on temporary n

assignment about precautions they may need to take to protect their health and who to call if they become illemployees who become ill while traveling and are at in- n

creased risk of complications from influenza and oth-ers concerned about their illness should promptly call a health care provider for adviceensure employees who become ill while traveling or on n

temporary assignment understand that they should noti-fy their supervisor If outside the United states ill employees should fol- n

low your companyrsquos policy for obtaining medical care or contact a health care provider or overseas medical assis-tance company to assist them with finding an appropriate health care provider in that country if needed A Us con-sular officer can help locate health care services However Us embassies consulates and military facilities do not have the legal authority capability and resources to evac-uate or give medications vaccines or medical care to pri-vate Us citizens overseassee CDCrsquos Travel Website ( n httpwwwncdcgovtrav-elcontentnovel-h1n1-fluaspx) for more information for travelers

PREPARE FOR THE POSSIBILITY OF SCHOOL DISMISSAL OR TEMPORARY CLOSuRE OF CHILD CARE PROgRAMS

Although school dismissals or closures of child care pro- n

grams are not likely to be generally recommended at this level of severity they are possible in some jurisdictions Be prepared to allow workers to stay home to care for n

children if schools are dismissed or child care programs are closed strongly recommend that parents not bring their children n

with them to work while schools are dismissedensure that your leave policies are flexible and non-puni- n

tive Cross-train employees to cover essential functions n

Read CDCrsquos Guidance for state and local Public Health n

officials and school Administrators for school (K-12) Re-sponses which can be found at httpwwwcdcgovh1n-1fluschoolsschoolguidancehtm to better understand the conditions under which schools may be dismissed

Under Conditions with Increased Severity Compared to SpringSummer 2009

If 2009 H1n1 becomes more severe than during springsummer 2009 absenteeism will likely be far greater and ad-ditional protective measures to slow the spread of influenza may be considered Check with your local health department for the extent and severity of disease activity in your commu-nity and for recommendations for necessary measures Deci-sions about what tools should be used during a severe 2009 H1n1 outbreak should be based on the observed severity of the event its impact on specific subpopulations the need to protect workers the expected benefit of the interventions the feasibility of success of implementing these measures the di-rect and indirect costs of different interventions and the ef-fects on critical infrastructure health care delivery and soci-ety The following are measures that should be considered if influenza severity increases and are meant for use in addition to the measures outlined above

CONSIDER ACTIVE SCREENINg OF EMPLOYEES WHO REPORT TO WORK

If influenza severity increases at the beginning of the n

workday or with each new shift all employees should be asked about symptoms consistent with an influenza ill-ness8 such as fever or chills AnD cough or sore throat If the severity or the impact of influenza increases CDC rec-ommends that persons with an influenza-like illness not come to work or travel and remain at home for at least 7 days even if symptoms resolve sooner Individuals who are still sick 7 days after they become ill should continue to stay home until at least 24 hours after symptoms have resolved If influenza severity increases CDC recom-mends that people stay home at least 7 days whether or not antiviral medications are usedMake sure your sick leave policies are flexible and consis- n

tent with public health guidance and that your employ-ees are aware of these policies Do not require a doctorrsquos note for workers who are ill with n

influenzaContinue to advise workers to check for any signs of ill- n

ness before reporting to work each dayMake contingency plans for increased absenteeism n

caused by illness in workers or illness in workersrsquo family members that would require them to stay home Planning for absenteeism could include cross-training current em-ployees or hiring temporary workers

CONSIDER ALTERNATIVE WORK ENVIRONMENTS FOR EMPLOYEES AT HIgHER RISK FOR COMPLICATIONS OF INFLuENzA DuRINg PERIODS OF INCREASED INFLuENzA ACTIVITY IN THE COMMuNITY

employees with an underlying chronic medical condition n

or who are pregnant should consider calling their health care provider for advice about how to reduce their risk of exposure to influenza and if they get sick how best to get early treatment for influenzaIf influenza severity increases and if influenza transmis- n

sion is high in the community employers may want to evaluate their work environment to see how they can re-

18 | f L O r i d a p h a r m a C y T O d a y

duce the number of people that high-risk employees come in contact with such as exploring options for telecom-muting from home (if feasible) employers can also think about how workers at higher risk for influenza compli-cations could be reassigned to duties that have minimal contact with other employees clients or customers If these workers cannot be reassigned duties to reduce con-tact with others are concerned about their ability to avoid influenza at the workplace or will be in crowded condi-tions at work or while commuting to work then consider allowing employees at higher risk for influenza complica-tions to stay home from workCDC recommends that ill workers at higher risk of com- n

plications from influenza seek early treatment if they be-come illsee n httpwwwcdcgovh1n1fluqahtm for more infor-mation

CONSIDER INCREASINg SOCIAL DISTANCINg IN THE WORKPLACE

If influenza severity increases local public health offi- n

cials may recommend that employers implement mea-sures to increase the physical distance between people in the workplace to reduce the spread of influenza The goal should be for there to be at least 6 feet of distance between people at most times This is not a simple or easy strategy and would typically require considerable flexibility These measures may include avoiding crowded work settings canceling business-related face-to-face meetings spacing workers farther apart canceling non-essential travel in-creasing use of teleworking and using staggered shifts to allow fewer workers to be in the workplace at the same time9

If appropriate for your type of business and feasible re- n

view or develop policies for teleworking including an as-sessment of the capabilities and gaps of your current com-puter systems and availability of technical support Take remedial steps if needed and test your system in advance to assure it can handle an increase in remote usersRecommendations to increase social distancing may af- n

fect community functioning Because supply chain issues may be affected make sure you have plans for back-up suppliers

CONSIDER CANCELINg NON-ESSENTIAL BuSINESS TRAVEL AND ADVISINg EMPLOYEES ABOuT POSSIBLE DISRuPTIONS WHILE TRAVELINg OVERSEAS

If the severity of the outbreak worldwide increases in the n

fall or winter public health officials may recommend so-cial distancing strategies which include canceling non-es-sential travel and travel restrictions may be enacted by some countries which may limit the ability of employees to return home if they become ill while on travel statusIf influenza severity increases travelers should also be n

prepared for travel delays health screenings and other activities targeted towards travelers Provide information to travelers about contingency plans and how their travel

can be rebooked for these possible delays

PREPARE FOR SCHOOL DISMISSAL OR CLOSuRE OF CHILD CARE PROgRAMS

school dismissals and closure of child care programs are n

more likely at higher levels of severity Be prepared to allow workers to stay home to care for their children if schools are dismissed or child care programs are closed If dismissal is needed schools are being advised to dis-miss students for at least 5 to 7 calendar days or longer if necessary encourage employees who perform essential functions n

and who have children to plan for contingencies should local child care programs close or schools dismiss stu-dents Be prepared for prolonged absenteeism if schools dismiss n

students for an extended time Make sure your leave poli-cies are flexible and non-punitive employers should strongly recommend that parents not n

bring their children with them to work while schools are dismissedImplement flexible workplace policies like teleworking n

and staggered shifts Cross-train employees to cover essential functions n

Read CDCrsquos school guidance which can be found at n

httpwwwcdcgovh1n1fluschoolsschoolguidancehtm to better understand the conditions under which schools may be dismissed

OTHER CONSIDERATIONSAs part of their comprehensive pandemic planning n

some public and private sector employers have stock-piled or otherwise arranged for influenza antiviral drugs to be available for their employees during a pandemic To guide these efforts HHs released guidance to busi-nesses in 2008 entitled Considerations for Antiviral Drug Stockpiling by Employers in Preparation for an Influenza Pan-demic (httpwwwflugovvaccineantiviral_employershtml) see updated interim guidance on the use of antivi-ral agents for treatment and prophylaxis of 2009 H1n1 in-fluenza infection at httpwwwcdcgovh1n1flurecom-mendationshtmemployers should be aware that the severity of 2009 n

H1n1 influenza could change rapidly therefore local public health recommendations to communities and busi-nesses could be revised quickly Planners should identi-fy sources of timely and accurate information so they are aware of changes to recommendations and can promptly implement revised or additional measures recommended by local public health officials

O C T O B e r 2 0 0 9 | 19

The Florida Pharmacy Association 2009 ResolutionsPresented to the House of Delegates

It is an honor to serve as your 2009-2010 FPA speaker of the House of Delegates I have the privilege of follow-ing in the footsteps of some of FPArsquos most effective and prominent leaders and speakers including most recently suzanne Kelly

The House meeting held during the 2009 FPA An-nual Meeting in st Augustine was a lively and exciting meeting for our association If you missed the meeting or unaware of how the FPA House of Delegates serves itrsquos membership I strongly encourage you to contact myself directly or any of the FPA House of Delegates Board of Di-rectors Any one of us will be happy to get you involved and excited about this group and share with you how ev-ery resolution directly impacts the direction of the associ-ation and you its member

The FPA Board of Directors of the House of Delegates is made up of the following faithful memberssuzanne Kelly ndash Chair of the House of Delegates Board

of DirectorsAlexander Pytlarz ndash speaker of the House of DelegatesWilliam Riffee ndash Vice-speakershannon Zandy ndash DirectorCaridad Ferree ndash DirectorJosh Fields ndash Director Karen Whalen ndash FPA PresidentHumberto Martinez ndash FPA President-electMichael A Mone ndash ParliamentarianMichael A Jackson ndash FPA executive Vice President amp

Ceoon behalf of the House Board of Directors Irsquod like to

welcome the newest members of the House Board of Di-

rectors Dean William Riffee Vice-speaker and Caridad Ferree Director were elected at this years FPA Annual Meeting We look forward to their involvement

The House also had the privilege of introducing two new invited organizations to the House They are nige-rian Pharmacists Association and Florida Independent Pharmacy network

If any member represents an organization that wants to be involved in the House of Delegates please contact me directly I will be happy to work with you and your or-ganization so you are represented within the House and have your voice heard by all FPA members

At this past yearrsquos meeting the House reviewed eight submitted resolutions Below is a summary of the actions of the each resolution that the House took and to what committee the adopted resolutions were referred to by your President Karen Whalen Please review these reso-lutions as they will impact the policies and direction of our association If you have any comments or questions please feel free to contact me or any member of the House Board As always itrsquos never too early to start thinking about possible resolutions for next years House

Thank you for the opportunity to serve you and the Florida Pharmacy Association

Best regards

Alexander Pytlarz2009-2010 speaker of the House of Delegates

RESOLUTION 1

Pharmacy Manager in Charge Man-date rule changes for the State require to be on-site 24 hr perweekBroward County Pharmacist Associa-tion

Whereas There is no statutory or rule requirement for a Manager in Charge to be present in the Pharmacy

Whereas over the last few years in-ternet practices and non-pharmacist owned pharmacies have flourished in practice settings that were poorly su-pervised

Be it Resolved that the FPA propose that the Florida Pharmacy Board pro-mulgate rules which safeguard the public by having a Responsible par-ty (Pharmacy Manager of Record) on

premises 24 hrs per given week

Contact Broward County Pharmacist AssocDaniel P sweet RPhPast President Board Member954-232-8202

Intent To protect the public from non-pharmacist owners to influence the practice of pharmacy by placing a phar-

20 | f L O r i d a p h a r m a C y T O d a y

macist on record without reviewing the day to day operations of Pharmacy Practice and its Rules and statues

Resolution not Adopted

Respectfully submitted

Broward County Pharmacist Associa-tion

RESOLUTION 2

Repeal 40 hr Rule for Community Pharmacy PermitBroward County Pharmacist Associa-tion

Whereas the Practice of Pharmacy is evolving to an Information Profession where pharmacists will be reviewing medication therapy

Whereas in populated areas there are multiple pharmacies in a compact radi-us

Be it Resolved that the Florida Board of Pharmacy act in repealing the 40 hr rule for Community Pharmacy Permit withstanding that there is a pharmacy within 5 miles with extended hours or a 24 hr pharmacy within 2 miles

Contact Daniel P sweet RPhPast President Board Member Broward County Pharmacist Assoc954-232-8202

Intent With Pharmacy Practice evolv-ing with more Pharmacists are going to use there education to create office type practice The Pharmacist will need to be off-site to review medications and council patients on the use of their medication

Respectfully submittedBroward County Pharmacist Associa-tion

Motion to amendAmendment passedspeaker unable to determine the posi-

tion of the House on voice votestanding vote called for by the House speakerResolution adopted on standing vote

RESOLUTION 3

Physician Dispensing ndash Limiting Scope as Pertains to Controlled Sub-stancesBroward County Pharmacists Associa-tion

Whereas a significant problem regard-ing the misuse of controlled substances in our state has been identified and

Whereas the checks and balances that the pharmacist brings to the equation of reducing the potential for misuse of controlled substances due to conflicts of interest is circumvented in the phy-sician dispensing model

Be it Resolved that the FPA seek legis-lative changes to limit the in-office dis-pensing of controlled substances up to and not more than a three (3) day sup-ply Contact Broward County Pharmacists AssociationDaniel P sweet RPhPast President Board Member954-232-8202

Motion to amend the phrase ldquowork with the respective BoardsrdquoAmendment is adoptedMotion to amend by adding the words ldquouprdquo and the words ldquoand not more thanrdquo to the first sentenceMotion to amend passesMotion to amend by striking the last sentence of the resolveMotion to amend passesResolution Adopted

Intent With the advent of Pain Man-agement Clinics with Dispensaries Pa-tient safety and control is lost by not having a Pharmacist oversee the pa-tientsrsquo therapeutic management with-in the guidelines of the FDA and Con-trolled substance Abuse Act

RESOLUTION 4

Pharmacy Service TaxBroward County Pharmacists Associa-tion

Whereas Pharmacy has assumed the burden of absorbing the costs associat-ed with receiving and sending data to all sources

Whereas these costs continue to grow and are not associated with the cost of the product or filling fee received then

Be it Resolved that the FPA work with the proper legislative process for the state to create a TAX for prescriptions to cover all communication costs inher-ent in Rx processing for e-prescribing communications to PBMrsquos and data re-porting costs for handling in-state re-porting of Controlled substances

Be it Further Resolved that the col-lected tax be used only for Pharmacy Claims Administrative Costs in han-dling the claims and bear no economic andor administrative burdens on the pharmacy

Resolution not Adopted

Contact Broward County Pharmacists AssociationDaniel P sweet RPhPast President Board Member954-232-8202

Intent With greater dependency on data network and associated costs to all pharmacies we have been placed in a pinch With the state controlling the process we gain on many fronts First no back-end costs on any Rx claim next the state can legally charge PBMrsquos un-der contract and will be responsible for collecting the tax and lastly the state can use their collective bargain-ing power to reduce the costs associat-ed with data transmission

Respectfully submitted

Broward County Pharmacists Associa-tion

O C T O B e r 2 0 0 9 | 21

RESOLUTION 5

RPh Not a Degree Designationleon County Pharmacy Association

WHEREAS pharmacists with a PharmD degree very proudly and rightfully use their degree designation of PharmD with their name and

WHEREAS pharmacists with a BsP degree generally use RPh with their name and

WHEREAS the designation of RPh for Registered Pharmacist is not a degree designation and was enacted into the original Florida Pharmacy Practice Act of 1889 The current practice act defines a pharmacist as a licensed Pharmacist lPh

THEREFORE the leon County Phar-macy Association moves that the FPA promote the use of the BPharm desig-nation for the BsP degree in place of the RPh designation which no longer is ref-erenced in the Florida Pharmacy Prac-tice Act

Motion to amendMotion to amend failsResolution Adopted

Contact persons Michael A Jackson- (850) 222- 2400Jim Powers- (850) 422- 0079

Background The resolution pretty well speaks for itself however it should be noted that in most national pharmacy publications pharmacists with a BsP degree are using the BPharm designa-tion behind their names In research-ing Dr Gene Gramlingrsquos book ldquoA His-tory of Pharmacy in Floridardquo it has the Florida Pharmacy Practice Act of 1889 which reads as follows section 4 Be it further enacted that the Board of Phar-macy shall register in a suitable book the names and places of residence of all persons to whom they issue certifi-cates and dates thereof It shall be the duty of said Board of Pharmacy to reg-ister without examination as registered pharmacists all pharmacists and drug-gists who are engaged in business in

the state of Florida at the passage of this act as owners or principals of stores or pharmacies In any village town or city of more than 200 inhabitants helliprdquo

RESOLUTION 6

Long Term Care regulatory frame-workFlorida Chapter of American society of Consultant Pharmacist

Whereas the Florida regulatory frame-work for long-term care pharmacy should be reviewed periodically to en-sure that it is consistent with current practice the FPA legislative commit-tee resolves to coordinate with the Flor-ida Chapter of the American society of Consultant Pharmacists to review the current regulatory framework for long-Term Care pharmacy in Florida

Resolved that the FPA legislative Committee coordinate with the Flori-da Chapter of the American society of Consultant Pharmacists to review the current regulatory framework for long-Term Care Pharmacy in Florida

Resolve substituted by the sponsor and accepted by the House substitute Resolution Adopted

Contact name and Phone stephen J Grabowski (727) 945-0760

Problem As the number of our nationrsquos seniors has grown so to have the de-mands and challenges placed upon the pharmacists serving those seniors who live in long-term care facilities since the practice of pharmacy has evolved over the years with increased workload demands changing roles of pharmacy technicians and new technologies so too have the regulatory guidelines and oversight responsibilities of the state boards

Intent not only will the practice of pharmacy need to adapt to the needs of seniors in long-term care facilities but state board of pharmacies and phar-macists under their preview must un-

derstand the impact of these changes Pharmacists practicing in long-term care must collaborate with state boards of pharmacy to update practice acts to ensure the protection of the health safety and welfare of the public

RESOLUTION 7

Evaluation of the ldquoPedigree Docu-mentation Programrdquo as stated in Flor-ida Statue 499Alachua County Association of Phar-macists

Whereas Florida statue 499 states that its purpose is to safeguard the public health and promote the public welfare by protecting the public from injury by product use and by merchandising de-ceit involving drugs devices and cos-metics

Whereas Pharmacies Pharmacists Pharmacy Wholesalers Pharmaceuti-cal Manufacturers and Pharmacy Re-packagers are all an integral part of this program

Whereas there is financial costs associ-ated with this program

Whereas there are penalties associated with this program

RESOLVED - The FPA request the Agency for Health Care Administra-tion to evaluate the ldquoPedigree Docu-mentation Programrdquo (49901212) to de-termine effectiveness and identification of improvements in the program for the protection of the public safety

Problem - The state of Florida enact-ed the ldquoPedigree Documentation Pro-gramrdquo (49901212) to keep adulterated and misbranded pharmaceuticals from consumers

Intent - To determine the effectiveness of the ldquoPedigree Documentation Pro-gramrdquo in achieving its purpose

Resolution Adopted

22 | f L O r i d a p h a r m a C y T O d a y

sion forward Please join us in Talla-hassee next March

FPA Legislative Key Contact Network

The FPA legislative Committee would like to match up at least one pharmacist with every key legisla-tor in the state If you currently have a relationship with one of your state legislators or if you are willing to take the steps listed above to be one of our grassroots advocates we want to know sign up to be a member of our Key legislative Contacts If you can help please let us know by con-tacting any member of the legisla-tive Committee listed below or you may contact me directly at klwizcomcastnet

lastly your legislative Commit-tee deserves a BIG ldquoThank Yourdquo for their time and effort These mem-bers have stepped up to help our profession grow and prosper Fol-lowing is a list of the members of the 2009-2010 FPA legislative Commit-teeDavid AndrewsDon BergemannGary DalinMitchell FingerhutAmy FerrolRamy GabrielMark HobbsMichael JacksonHumberto MartinezMark PercifieldManny PrieguezAlexander PytlarzTeysha RichardsonWilliam RiffeeTheresa Tollenorman TomakaAmanda Waltemathlori WeemsKaren WhalenRobert WilburChristine Yocum

Ken Wisniewski2009-2010 legislative Committee Chair

Viewpoint continued from page 5Respectfully submitted

Alachua County Association of Phar-macists

RESOLUTION 8

Continuous quality Improvement Program-Program EvaluationAlachua County Association of Phar-macists

Whereas the CQI Program is a system of standards and procedures to identify and evaluate quality-related events and improve patient care

Whereas some of the main goals of FPA and the Board of Pharmacy is to improve patient care and safety

Whereas an evaluation of the CQI Pro-gram may identify improvements that could be incorporated into the pro-gram

Whereas information about patient safety practices obtained from the pro-gram evaluation would be helpful if shared with the pharmacists of Florida and the nation

Resolved that the FPA request the Flor-ida Board of Pharmacy to conduct a Program evaluation of the Continuous Quality Improvement Program (64B16-27300)

Problem- since the enactment of 64B16-27300 Continuous Quality Improve-ment (CQI) Program there has not been a program evaluation

Intent- The evaluation of the CQI Pro-gram for effectiveness

Respectfully submittedAlachua County Association of Phar-macists

Resolution Adopted

JOIN TODAY

Florida Pharmacy Association

O C T O B e r 2 0 0 9 | 23

RESOLUTION 1Pharmacy Manager in Charge Man-date rule changes for the State require to be on-site 24 hr perweekBroward County Pharmacist Associa-tion Whereas There is no statutory or rule requirement for a Manager in Charge to be present in the PharmacyWhereas over the last few years in-ternet practices and non-pharmacist owned pharmacies have flourished in practice settings that were poorly su-pervisedBe it Resolved that the FPA propose that the Florida Pharmacy Board pro-mulgate rules which safeguard the public by having a Responsible par-ty (Pharmacy Manager of Record) on premises 24 hrs per given weekContact Broward County Pharmacist AssocDaniel P sweet RPhPast President Board Member954-232-8202Intent To protect the public from non-pharmacist owners to influence the practice of pharmacy by placing a phar-macist on record without reviewing the day to day operations of Pharmacy Practice and its Rules and statuesResolution Not AdoptedRespectfully SubmittedBroward County Pharmacist Associa-tion

RESOLUTION 2

Repeal 40 hr Rule for Community Pharmacy PermitBroward County Pharmacist Associa-tion Whereas the Practice of Pharmacy is evolving to an Information Profession where pharmacists will be reviewing medication therapyWhereas in populated areas there are multiple pharmacies in a compact radi-usBe it Resolved that the Florida Board of Pharmacy act in repealing the 40 hr rule for Community Pharmacy Permit withstanding that there is a pharmacy within 5 miles with extended hours or a 24 hr pharmacy within 2 milesContact

Daniel P sweet RPhPast President Board Member Broward County Pharmacist Assoc954-232-8202 Intent With Pharmacy Practice evolv-ing with more Pharmacists are going to use there education to create office type practice The Pharmacist will need to be off-site to review medications and council patients on the use of their medicationRespectfully SubmittedBroward County Pharmacist Associa-tion Motion to amendAmendment passedSpeaker unable to determine the posi-tion of the House on voice voteStanding vote called for by the House SpeakerResolution adopted on standing vote

RESOLUTION 3

Physician Dispensing ndash Limiting Scope as Pertains to Controlled Sub-stancesBroward County Pharmacists Associa-tionWhereas a significant problem regard-ing the misuse of controlled substances in our state has been identified andWhereas the checks and balances that the pharmacist brings to the equation of reducing the potential for misuse of controlled substances due to conflicts of interest is circumvented in the phy-sician dispensing model Be it Resolved that the FPA seek legis-lative changes to limit the in-office dis-pensing of controlled substances up to and not more than a three (3) day sup-ply Contact Broward County Pharmacists Associa-tionDaniel P sweet RPhPast President Board Member954-232-8202Motion to amend the phrase ldquowork with the respective BoardsrdquoAmendment is adoptedMotion to amend by adding the words ldquouprdquo and the words ldquoand not more thanrdquo to the first sentenceMotion to amend passes

Motion to amend by striking the last sentence of the resolveMotion to amend passesResolution AdoptedIntent With the advent of Pain Man-agement Clinics with Dispensaries Pa-tient safety and control is lost by not having a Pharmacist oversee the pa-tientsrsquo therapeutic management with-in the guidelines of the FDA and Con-trolled substance Abuse Act

RESOLUTION 4

Pharmacy Service TaxBroward County Pharmacists Associa-tionWhereas Pharmacy has assumed the burden of absorbing the costs associat-ed with receiving and sending data to all sourcesWhereas these costs continue to grow and are not associated with the cost of the product or filling fee received thenBe it Resolved that the FPA work with the proper legislative process for the state to create a TAX for prescriptions to cover all communication costs inher-ent in Rx processing for e-prescribing communications to PBMrsquos and data re-porting costs for handling in-state re-porting of Controlled substancesBe it Further Resolved that the col-lected tax be used only for Pharmacy Claims Administrative Costs in han-dling the claims and bear no economic andor administrative burdens on the pharmacyResolution Not AdoptedContact Broward County Pharmacists Associa-tionDaniel P sweet RPhPast President Board Member954-232-8202Intent With greater dependency on data network and associated costs to all pharmacies we have been placed in a pinch With the state controlling the process we gain on many fronts First no back-end costs on any Rx claim next the state can legally charge PBMrsquos un-der contract and will be responsible for collecting the tax and lastly the state can use their collective bargain-ing power to reduce the costs associat-

EmailFax Network HotlineReceive up-to-date and up-to-the-min-ute information on legislative Develop-ments Board of Pharmacy changes and other topics affecting the profession of pharmacy Call FPA Member services at (850) 222-2400 ext 110 ndash rsimmonspharmviewcom

Tax ResourceProvides defense and protection of your assets when you are audited Tax Resource will defend their clients for any income tax audit Federal or state for any tax year Tax Resource pio-neered the tax audit service business and is the largest audit defense firm in the United states Call (800) 92-AUDIT (800-922-8348)

Atlantic Coupon Redemption Center Receive payment in 25 working days of couponrsquos face value plus a rebate of 16 cents based on store volume Call Meredith McCord (800) 223-0398

Florida Commerce Federal Credit Union The chief objective of a credit union is not generating profits for stockholders but to provide service to its member The members benefit by getting attrac-tive returns on savings loans made at fair rates of interest plus enhanced and expanded services This is probably one of the best deals around Call (850) 488-0035

Collection Services For past due accounts call I C system Inc Call (800) 328-9595

Other Member Benefits n Discounted Continuing education

Programsn Monthly Issues of the Florida Phar-

macy Today Journal

ITC Deltacom offering FPA members exclusive associa-tion discounts on telecommunication ser-vices including local services long dis-tance data networks telephone systems and dedicated internet access Call 850-701-3200 or visit wwwitcdeltacomcom

Pharmacy Resource Materials FPA provides the most recent and rele-vant resources necessary to meet your professional needs This includes the Continuous Quality Improvement Manu-al Controlled substance Inventory Book-lets and Pharmacy signs Please call FPA Members services for more information 850-222-2400 ext 110

FPA Website Visit our FPA Website at wwpharmviewcom The site launched in December 2004 and revised in october 2008 includes a members only section The website of-fers a secure server so that you can reg-isters for Ce programs renew your mem-bership or purchase resources materials with your credit card

in keeping with a tradition of offering our members real benefits the Florida Pharmacy association (FPa) is proud to announce the introduction of sponsored discount Benefits Program these vendors are dedicated to providing an excellent value to all FPa members and associates to take advantage of benefits contact the vendors directly at the numbers listed below and identify yourself as a FPa member and have your membership id number handy

MEMBERSHIP MATTERS

Florida Pharmacy Association

24 | f L O r i d a p h a r m a C y T O d a y

Wyeth Bowl of Hygeia

Awarded to a pharmacist for out-standing community service above and beyond professional duties The use of the following selection criteria is re-quired

The recipient must be a Florida li- n

censed pharmacist and a member of FPAThe recipient must be living Awards n

are not presented posthumouslyThe recipient has not previously re- n

ceived the awardThe recipient is not currently serving n

nor has heshe served within the immediate past 2 years on its award committee or an officer of the asso-ciation in other than an ex officio ca-pacityThe recipient has compiled an out- n

standing record of community ser-vice which apart from hisher spe-cific identification as a pharmacist reflects well on the profession

James H Beal Award

Awarded to the Pharmacist of the Year The criteria established for this award is that the recipient be a Flori-da registered pharmacist and a mem-ber of FPA who has rendered outstand-ing service to pharmacy within the past five yearsCriteria

The recipient must be a Florida reg- n

istered pharmacist and a member of the FPAThe recipient has rendered outstand- n

ing service to pharmacy within the past five years

Technician of the Year AwardAwarded annually to a Florida

pharmacy technician who is recog-nized for hisher outstanding perfor-mance and achievement during hisher career

Criteria

Candidate must be a member of n

the Florida Pharmacy Association for at least 2 yearsCandidate must have demonstrat- n

ed contributions and dedication to the advancement of pharmacy technician practiceCandidate must have demonstrat- n

ed contributions to the Florida Pharmacy Association andor oth-er pharmacy organizationsCandidate must have demonstrat- n

ed commitment to community ser-viceCandidate is not a past recipient of n

this award

RQ Richards Award

This award is based on outstanding achievement in the field of pharmaceu-tical public relations in FloridaCriteria

The recipient must be a Florida reg- n

istered pharmacist and a member of the FPAThe recipient has displayed out- n

standing achievement in the field of pharmaceutical public relations in Florida

Frank TobackAZO Consultant

Pharmacist Award

CriteriaCandidate must be an FPA member n

registered with the Florida Board of Pharmacy as a consultant pharma-cist in good standingCandidate should be selected based n

on their outstanding achievements in the field of consultant pharmacy

DCPA Sidney Simkowitz

Pharmacy Involvement Award

Presented annually to a Florida pharmacist who has been active at the local and state pharmacy association level in advancement of the profes-sion of pharmacy in Florida

CriteriaA minimum of five years of active n

involvement in and contributions to the local association and FPACandidate must have held office at n

local level pharmacy associationMember in good standing for a pe- n

riod of at least five years in the FPA and must have served as a member or chairman of a committee of the associationCandidate must have been active- n

ly involved in a project that has or could potentially be of benefit to members of the profession

Pharmacists Mutual Companies

Distinguished Young Pharmacist

Award

Awarded to a young pharmacist for their involvement and dedication to the practice of pharmacyCriteria

licensed to practice for nine (9) years n

or lesslicensed to practice in the state in n

which selectedParticipation in national pharmacy n

association professional programs andor community service

IPA Roman Maximo Corrons

Inspiration amp Motivation Award

Interamerican Pharmacists Association created this award to honor the memo-ry of Roman M Corrons who inspired and motivated countless pharmacists to participate actively and aspire to take on leadership roles in their profession Roman was always there with guidance and support that motivated pharma-cists and encouraged visionary leader-ship approachable active membership and succession planning This award recognizes the motivators among us who inspire others to continue to ad-vance the professionCriteria

C a L L f O r N O m i N a T i O N s F P A A W A R D S 2 0 0 9 - 2 0 1 0

O C T O B e r 2 0 0 9 | 25

DEADLINE FOR NOMINATIONS FEBRUARY 28 2010

The recipient must be a Florida li- n

censed Pharmacist and a member of the FPACandidate should motivate others n

to excel within the profession by en-couraging them to be leadersCandidate is not necessarily an as- n

sociation officer but guides sup-ports andor inspires others

A brief description on the candidatersquos motivationalinspirational skills must accompany the nomination

The Jean Lamberti

Mentorship Award

The Jean lamberti Mentorship Award was established in 1998 to hon-or those pharmacists who have taken time to share their knowledge and ex-

perience with pharmacist candidates The award is named in honor of long time FPA member Jean lamberti for her effort in working with pharmacy studentsCriteria

The recipient must be an FPA mem- n

berThe recipient must serve as a role n

model for the profession of pharmacy

Innovative Pharmacy Practice

Award

Awarded to honor practicing phar-macists who have demonstrated inno-vation in pharmacy practice that has resulted in improved patient careCriteria

The recipient has demonstrated inno- n

vative pharmacy practice resulting in improved patient careThe recipient should be a practic- n

ing pharmacist within the geograph-ic area represented by the presenting Association

Qualified nominee A pharmacist prac-ticing within the geographic area repre-sented by the presenting Association

I AM PLEASED TO SUBMIT THE FOLLOWING NOMINATION

Name

Address

FOR THE FOLLOWING AWARD

(Nomination Deadline February 28 2009)

Wyeth Bowl of Hygeia Award

James H Beal Award

RQ Richards Award

Frank TobackAZO Consultant Pharmacist Award

DCPA Sydney Simkowitz Award

Pharmacists Mutual Co Distinguished Young Pharmacist Award

Academy of Pharmacy Practice Practitioner Merit Award

The Jean Lamberti Mentorship Award

IPA Roman Maximo Corrons Inspiration amp Motivation Award

Innovative Pharmacy Practice Award

Technician of the Year Award

NOMINATED BY

Name

Date Submitted

Signature

Please describe briefly below the nominees accomplishments indicating why you feel he or she should receive this award (Attach additional sheets if necessary)

C a L L f O r N O m i N a T i O N s F P A A W A R D S 2 0 0 9 - 2 0 1 0

F P A A W A R D S N O M I N A T I O N F O R M

mail nominatons to annual awards Florida Pharmacy association 610 n adams st tallahassee Fl 32301(850) 222-2400 FaX (850) 561-6758 dEadlinE For nominations is FEBrUary 28 2010

26 | f L O r i d a p h a r m a C y T O d a y

CALL FOR RESOLUTIONS TO THE 2010 HOUSE OF DELEGATES

The House of Delegates Board of Directors will meet in March 2010 to review and approve resolu-tions for the Annual Meeting The deadline for submitting resolutions is March 15 2010 PleAse noTe THIs DeADlIne

The following information will be needed when submitting resolutions

1 name of organization The name of the organization submitting the resolutions(s)2 name and telephone number of individuals A contact in the event clarification or further in-

formation is needed 3 Problem A statement of the problem addressed by the resolution4 Intent A statement of what passage of the resolution will accomplish5 Resolution Format (please type and use double spacing)

TiTle of ResoluTion

name of oRganizaTion

WheReas and

WheReas

TheRefoRe be iT

Resolved (ThaT The fPa oR subdivision of fPa)

ConTaCT name and Phone

PRoblem

inTenT

Page 17: October 2009 Florida Pharmacy Journal

O C T O B e r 2 0 0 9 | 17

Assess your essential functions and the reliance that oth- n

ers and the community have on your services or products Be prepared to change your business practices if need-ed to maintain critical operations (eg identify alternative suppliers prioritize customers or temporarily suspend some of your operations if needed)

ADVISE EMPLOYEES BEFORE TRAVELINg TO TAKE CERTAIN STEPS

Advise workers to check themselves for fever and any n

other signs of influenza-like illness before starting travel and notify their supervisor and stay home if they are illAdvise employees who will be traveling or on temporary n

assignment about precautions they may need to take to protect their health and who to call if they become illemployees who become ill while traveling and are at in- n

creased risk of complications from influenza and oth-ers concerned about their illness should promptly call a health care provider for adviceensure employees who become ill while traveling or on n

temporary assignment understand that they should noti-fy their supervisor If outside the United states ill employees should fol- n

low your companyrsquos policy for obtaining medical care or contact a health care provider or overseas medical assis-tance company to assist them with finding an appropriate health care provider in that country if needed A Us con-sular officer can help locate health care services However Us embassies consulates and military facilities do not have the legal authority capability and resources to evac-uate or give medications vaccines or medical care to pri-vate Us citizens overseassee CDCrsquos Travel Website ( n httpwwwncdcgovtrav-elcontentnovel-h1n1-fluaspx) for more information for travelers

PREPARE FOR THE POSSIBILITY OF SCHOOL DISMISSAL OR TEMPORARY CLOSuRE OF CHILD CARE PROgRAMS

Although school dismissals or closures of child care pro- n

grams are not likely to be generally recommended at this level of severity they are possible in some jurisdictions Be prepared to allow workers to stay home to care for n

children if schools are dismissed or child care programs are closed strongly recommend that parents not bring their children n

with them to work while schools are dismissedensure that your leave policies are flexible and non-puni- n

tive Cross-train employees to cover essential functions n

Read CDCrsquos Guidance for state and local Public Health n

officials and school Administrators for school (K-12) Re-sponses which can be found at httpwwwcdcgovh1n-1fluschoolsschoolguidancehtm to better understand the conditions under which schools may be dismissed

Under Conditions with Increased Severity Compared to SpringSummer 2009

If 2009 H1n1 becomes more severe than during springsummer 2009 absenteeism will likely be far greater and ad-ditional protective measures to slow the spread of influenza may be considered Check with your local health department for the extent and severity of disease activity in your commu-nity and for recommendations for necessary measures Deci-sions about what tools should be used during a severe 2009 H1n1 outbreak should be based on the observed severity of the event its impact on specific subpopulations the need to protect workers the expected benefit of the interventions the feasibility of success of implementing these measures the di-rect and indirect costs of different interventions and the ef-fects on critical infrastructure health care delivery and soci-ety The following are measures that should be considered if influenza severity increases and are meant for use in addition to the measures outlined above

CONSIDER ACTIVE SCREENINg OF EMPLOYEES WHO REPORT TO WORK

If influenza severity increases at the beginning of the n

workday or with each new shift all employees should be asked about symptoms consistent with an influenza ill-ness8 such as fever or chills AnD cough or sore throat If the severity or the impact of influenza increases CDC rec-ommends that persons with an influenza-like illness not come to work or travel and remain at home for at least 7 days even if symptoms resolve sooner Individuals who are still sick 7 days after they become ill should continue to stay home until at least 24 hours after symptoms have resolved If influenza severity increases CDC recom-mends that people stay home at least 7 days whether or not antiviral medications are usedMake sure your sick leave policies are flexible and consis- n

tent with public health guidance and that your employ-ees are aware of these policies Do not require a doctorrsquos note for workers who are ill with n

influenzaContinue to advise workers to check for any signs of ill- n

ness before reporting to work each dayMake contingency plans for increased absenteeism n

caused by illness in workers or illness in workersrsquo family members that would require them to stay home Planning for absenteeism could include cross-training current em-ployees or hiring temporary workers

CONSIDER ALTERNATIVE WORK ENVIRONMENTS FOR EMPLOYEES AT HIgHER RISK FOR COMPLICATIONS OF INFLuENzA DuRINg PERIODS OF INCREASED INFLuENzA ACTIVITY IN THE COMMuNITY

employees with an underlying chronic medical condition n

or who are pregnant should consider calling their health care provider for advice about how to reduce their risk of exposure to influenza and if they get sick how best to get early treatment for influenzaIf influenza severity increases and if influenza transmis- n

sion is high in the community employers may want to evaluate their work environment to see how they can re-

18 | f L O r i d a p h a r m a C y T O d a y

duce the number of people that high-risk employees come in contact with such as exploring options for telecom-muting from home (if feasible) employers can also think about how workers at higher risk for influenza compli-cations could be reassigned to duties that have minimal contact with other employees clients or customers If these workers cannot be reassigned duties to reduce con-tact with others are concerned about their ability to avoid influenza at the workplace or will be in crowded condi-tions at work or while commuting to work then consider allowing employees at higher risk for influenza complica-tions to stay home from workCDC recommends that ill workers at higher risk of com- n

plications from influenza seek early treatment if they be-come illsee n httpwwwcdcgovh1n1fluqahtm for more infor-mation

CONSIDER INCREASINg SOCIAL DISTANCINg IN THE WORKPLACE

If influenza severity increases local public health offi- n

cials may recommend that employers implement mea-sures to increase the physical distance between people in the workplace to reduce the spread of influenza The goal should be for there to be at least 6 feet of distance between people at most times This is not a simple or easy strategy and would typically require considerable flexibility These measures may include avoiding crowded work settings canceling business-related face-to-face meetings spacing workers farther apart canceling non-essential travel in-creasing use of teleworking and using staggered shifts to allow fewer workers to be in the workplace at the same time9

If appropriate for your type of business and feasible re- n

view or develop policies for teleworking including an as-sessment of the capabilities and gaps of your current com-puter systems and availability of technical support Take remedial steps if needed and test your system in advance to assure it can handle an increase in remote usersRecommendations to increase social distancing may af- n

fect community functioning Because supply chain issues may be affected make sure you have plans for back-up suppliers

CONSIDER CANCELINg NON-ESSENTIAL BuSINESS TRAVEL AND ADVISINg EMPLOYEES ABOuT POSSIBLE DISRuPTIONS WHILE TRAVELINg OVERSEAS

If the severity of the outbreak worldwide increases in the n

fall or winter public health officials may recommend so-cial distancing strategies which include canceling non-es-sential travel and travel restrictions may be enacted by some countries which may limit the ability of employees to return home if they become ill while on travel statusIf influenza severity increases travelers should also be n

prepared for travel delays health screenings and other activities targeted towards travelers Provide information to travelers about contingency plans and how their travel

can be rebooked for these possible delays

PREPARE FOR SCHOOL DISMISSAL OR CLOSuRE OF CHILD CARE PROgRAMS

school dismissals and closure of child care programs are n

more likely at higher levels of severity Be prepared to allow workers to stay home to care for their children if schools are dismissed or child care programs are closed If dismissal is needed schools are being advised to dis-miss students for at least 5 to 7 calendar days or longer if necessary encourage employees who perform essential functions n

and who have children to plan for contingencies should local child care programs close or schools dismiss stu-dents Be prepared for prolonged absenteeism if schools dismiss n

students for an extended time Make sure your leave poli-cies are flexible and non-punitive employers should strongly recommend that parents not n

bring their children with them to work while schools are dismissedImplement flexible workplace policies like teleworking n

and staggered shifts Cross-train employees to cover essential functions n

Read CDCrsquos school guidance which can be found at n

httpwwwcdcgovh1n1fluschoolsschoolguidancehtm to better understand the conditions under which schools may be dismissed

OTHER CONSIDERATIONSAs part of their comprehensive pandemic planning n

some public and private sector employers have stock-piled or otherwise arranged for influenza antiviral drugs to be available for their employees during a pandemic To guide these efforts HHs released guidance to busi-nesses in 2008 entitled Considerations for Antiviral Drug Stockpiling by Employers in Preparation for an Influenza Pan-demic (httpwwwflugovvaccineantiviral_employershtml) see updated interim guidance on the use of antivi-ral agents for treatment and prophylaxis of 2009 H1n1 in-fluenza infection at httpwwwcdcgovh1n1flurecom-mendationshtmemployers should be aware that the severity of 2009 n

H1n1 influenza could change rapidly therefore local public health recommendations to communities and busi-nesses could be revised quickly Planners should identi-fy sources of timely and accurate information so they are aware of changes to recommendations and can promptly implement revised or additional measures recommended by local public health officials

O C T O B e r 2 0 0 9 | 19

The Florida Pharmacy Association 2009 ResolutionsPresented to the House of Delegates

It is an honor to serve as your 2009-2010 FPA speaker of the House of Delegates I have the privilege of follow-ing in the footsteps of some of FPArsquos most effective and prominent leaders and speakers including most recently suzanne Kelly

The House meeting held during the 2009 FPA An-nual Meeting in st Augustine was a lively and exciting meeting for our association If you missed the meeting or unaware of how the FPA House of Delegates serves itrsquos membership I strongly encourage you to contact myself directly or any of the FPA House of Delegates Board of Di-rectors Any one of us will be happy to get you involved and excited about this group and share with you how ev-ery resolution directly impacts the direction of the associ-ation and you its member

The FPA Board of Directors of the House of Delegates is made up of the following faithful memberssuzanne Kelly ndash Chair of the House of Delegates Board

of DirectorsAlexander Pytlarz ndash speaker of the House of DelegatesWilliam Riffee ndash Vice-speakershannon Zandy ndash DirectorCaridad Ferree ndash DirectorJosh Fields ndash Director Karen Whalen ndash FPA PresidentHumberto Martinez ndash FPA President-electMichael A Mone ndash ParliamentarianMichael A Jackson ndash FPA executive Vice President amp

Ceoon behalf of the House Board of Directors Irsquod like to

welcome the newest members of the House Board of Di-

rectors Dean William Riffee Vice-speaker and Caridad Ferree Director were elected at this years FPA Annual Meeting We look forward to their involvement

The House also had the privilege of introducing two new invited organizations to the House They are nige-rian Pharmacists Association and Florida Independent Pharmacy network

If any member represents an organization that wants to be involved in the House of Delegates please contact me directly I will be happy to work with you and your or-ganization so you are represented within the House and have your voice heard by all FPA members

At this past yearrsquos meeting the House reviewed eight submitted resolutions Below is a summary of the actions of the each resolution that the House took and to what committee the adopted resolutions were referred to by your President Karen Whalen Please review these reso-lutions as they will impact the policies and direction of our association If you have any comments or questions please feel free to contact me or any member of the House Board As always itrsquos never too early to start thinking about possible resolutions for next years House

Thank you for the opportunity to serve you and the Florida Pharmacy Association

Best regards

Alexander Pytlarz2009-2010 speaker of the House of Delegates

RESOLUTION 1

Pharmacy Manager in Charge Man-date rule changes for the State require to be on-site 24 hr perweekBroward County Pharmacist Associa-tion

Whereas There is no statutory or rule requirement for a Manager in Charge to be present in the Pharmacy

Whereas over the last few years in-ternet practices and non-pharmacist owned pharmacies have flourished in practice settings that were poorly su-pervised

Be it Resolved that the FPA propose that the Florida Pharmacy Board pro-mulgate rules which safeguard the public by having a Responsible par-ty (Pharmacy Manager of Record) on

premises 24 hrs per given week

Contact Broward County Pharmacist AssocDaniel P sweet RPhPast President Board Member954-232-8202

Intent To protect the public from non-pharmacist owners to influence the practice of pharmacy by placing a phar-

20 | f L O r i d a p h a r m a C y T O d a y

macist on record without reviewing the day to day operations of Pharmacy Practice and its Rules and statues

Resolution not Adopted

Respectfully submitted

Broward County Pharmacist Associa-tion

RESOLUTION 2

Repeal 40 hr Rule for Community Pharmacy PermitBroward County Pharmacist Associa-tion

Whereas the Practice of Pharmacy is evolving to an Information Profession where pharmacists will be reviewing medication therapy

Whereas in populated areas there are multiple pharmacies in a compact radi-us

Be it Resolved that the Florida Board of Pharmacy act in repealing the 40 hr rule for Community Pharmacy Permit withstanding that there is a pharmacy within 5 miles with extended hours or a 24 hr pharmacy within 2 miles

Contact Daniel P sweet RPhPast President Board Member Broward County Pharmacist Assoc954-232-8202

Intent With Pharmacy Practice evolv-ing with more Pharmacists are going to use there education to create office type practice The Pharmacist will need to be off-site to review medications and council patients on the use of their medication

Respectfully submittedBroward County Pharmacist Associa-tion

Motion to amendAmendment passedspeaker unable to determine the posi-

tion of the House on voice votestanding vote called for by the House speakerResolution adopted on standing vote

RESOLUTION 3

Physician Dispensing ndash Limiting Scope as Pertains to Controlled Sub-stancesBroward County Pharmacists Associa-tion

Whereas a significant problem regard-ing the misuse of controlled substances in our state has been identified and

Whereas the checks and balances that the pharmacist brings to the equation of reducing the potential for misuse of controlled substances due to conflicts of interest is circumvented in the phy-sician dispensing model

Be it Resolved that the FPA seek legis-lative changes to limit the in-office dis-pensing of controlled substances up to and not more than a three (3) day sup-ply Contact Broward County Pharmacists AssociationDaniel P sweet RPhPast President Board Member954-232-8202

Motion to amend the phrase ldquowork with the respective BoardsrdquoAmendment is adoptedMotion to amend by adding the words ldquouprdquo and the words ldquoand not more thanrdquo to the first sentenceMotion to amend passesMotion to amend by striking the last sentence of the resolveMotion to amend passesResolution Adopted

Intent With the advent of Pain Man-agement Clinics with Dispensaries Pa-tient safety and control is lost by not having a Pharmacist oversee the pa-tientsrsquo therapeutic management with-in the guidelines of the FDA and Con-trolled substance Abuse Act

RESOLUTION 4

Pharmacy Service TaxBroward County Pharmacists Associa-tion

Whereas Pharmacy has assumed the burden of absorbing the costs associat-ed with receiving and sending data to all sources

Whereas these costs continue to grow and are not associated with the cost of the product or filling fee received then

Be it Resolved that the FPA work with the proper legislative process for the state to create a TAX for prescriptions to cover all communication costs inher-ent in Rx processing for e-prescribing communications to PBMrsquos and data re-porting costs for handling in-state re-porting of Controlled substances

Be it Further Resolved that the col-lected tax be used only for Pharmacy Claims Administrative Costs in han-dling the claims and bear no economic andor administrative burdens on the pharmacy

Resolution not Adopted

Contact Broward County Pharmacists AssociationDaniel P sweet RPhPast President Board Member954-232-8202

Intent With greater dependency on data network and associated costs to all pharmacies we have been placed in a pinch With the state controlling the process we gain on many fronts First no back-end costs on any Rx claim next the state can legally charge PBMrsquos un-der contract and will be responsible for collecting the tax and lastly the state can use their collective bargain-ing power to reduce the costs associat-ed with data transmission

Respectfully submitted

Broward County Pharmacists Associa-tion

O C T O B e r 2 0 0 9 | 21

RESOLUTION 5

RPh Not a Degree Designationleon County Pharmacy Association

WHEREAS pharmacists with a PharmD degree very proudly and rightfully use their degree designation of PharmD with their name and

WHEREAS pharmacists with a BsP degree generally use RPh with their name and

WHEREAS the designation of RPh for Registered Pharmacist is not a degree designation and was enacted into the original Florida Pharmacy Practice Act of 1889 The current practice act defines a pharmacist as a licensed Pharmacist lPh

THEREFORE the leon County Phar-macy Association moves that the FPA promote the use of the BPharm desig-nation for the BsP degree in place of the RPh designation which no longer is ref-erenced in the Florida Pharmacy Prac-tice Act

Motion to amendMotion to amend failsResolution Adopted

Contact persons Michael A Jackson- (850) 222- 2400Jim Powers- (850) 422- 0079

Background The resolution pretty well speaks for itself however it should be noted that in most national pharmacy publications pharmacists with a BsP degree are using the BPharm designa-tion behind their names In research-ing Dr Gene Gramlingrsquos book ldquoA His-tory of Pharmacy in Floridardquo it has the Florida Pharmacy Practice Act of 1889 which reads as follows section 4 Be it further enacted that the Board of Phar-macy shall register in a suitable book the names and places of residence of all persons to whom they issue certifi-cates and dates thereof It shall be the duty of said Board of Pharmacy to reg-ister without examination as registered pharmacists all pharmacists and drug-gists who are engaged in business in

the state of Florida at the passage of this act as owners or principals of stores or pharmacies In any village town or city of more than 200 inhabitants helliprdquo

RESOLUTION 6

Long Term Care regulatory frame-workFlorida Chapter of American society of Consultant Pharmacist

Whereas the Florida regulatory frame-work for long-term care pharmacy should be reviewed periodically to en-sure that it is consistent with current practice the FPA legislative commit-tee resolves to coordinate with the Flor-ida Chapter of the American society of Consultant Pharmacists to review the current regulatory framework for long-Term Care pharmacy in Florida

Resolved that the FPA legislative Committee coordinate with the Flori-da Chapter of the American society of Consultant Pharmacists to review the current regulatory framework for long-Term Care Pharmacy in Florida

Resolve substituted by the sponsor and accepted by the House substitute Resolution Adopted

Contact name and Phone stephen J Grabowski (727) 945-0760

Problem As the number of our nationrsquos seniors has grown so to have the de-mands and challenges placed upon the pharmacists serving those seniors who live in long-term care facilities since the practice of pharmacy has evolved over the years with increased workload demands changing roles of pharmacy technicians and new technologies so too have the regulatory guidelines and oversight responsibilities of the state boards

Intent not only will the practice of pharmacy need to adapt to the needs of seniors in long-term care facilities but state board of pharmacies and phar-macists under their preview must un-

derstand the impact of these changes Pharmacists practicing in long-term care must collaborate with state boards of pharmacy to update practice acts to ensure the protection of the health safety and welfare of the public

RESOLUTION 7

Evaluation of the ldquoPedigree Docu-mentation Programrdquo as stated in Flor-ida Statue 499Alachua County Association of Phar-macists

Whereas Florida statue 499 states that its purpose is to safeguard the public health and promote the public welfare by protecting the public from injury by product use and by merchandising de-ceit involving drugs devices and cos-metics

Whereas Pharmacies Pharmacists Pharmacy Wholesalers Pharmaceuti-cal Manufacturers and Pharmacy Re-packagers are all an integral part of this program

Whereas there is financial costs associ-ated with this program

Whereas there are penalties associated with this program

RESOLVED - The FPA request the Agency for Health Care Administra-tion to evaluate the ldquoPedigree Docu-mentation Programrdquo (49901212) to de-termine effectiveness and identification of improvements in the program for the protection of the public safety

Problem - The state of Florida enact-ed the ldquoPedigree Documentation Pro-gramrdquo (49901212) to keep adulterated and misbranded pharmaceuticals from consumers

Intent - To determine the effectiveness of the ldquoPedigree Documentation Pro-gramrdquo in achieving its purpose

Resolution Adopted

22 | f L O r i d a p h a r m a C y T O d a y

sion forward Please join us in Talla-hassee next March

FPA Legislative Key Contact Network

The FPA legislative Committee would like to match up at least one pharmacist with every key legisla-tor in the state If you currently have a relationship with one of your state legislators or if you are willing to take the steps listed above to be one of our grassroots advocates we want to know sign up to be a member of our Key legislative Contacts If you can help please let us know by con-tacting any member of the legisla-tive Committee listed below or you may contact me directly at klwizcomcastnet

lastly your legislative Commit-tee deserves a BIG ldquoThank Yourdquo for their time and effort These mem-bers have stepped up to help our profession grow and prosper Fol-lowing is a list of the members of the 2009-2010 FPA legislative Commit-teeDavid AndrewsDon BergemannGary DalinMitchell FingerhutAmy FerrolRamy GabrielMark HobbsMichael JacksonHumberto MartinezMark PercifieldManny PrieguezAlexander PytlarzTeysha RichardsonWilliam RiffeeTheresa Tollenorman TomakaAmanda Waltemathlori WeemsKaren WhalenRobert WilburChristine Yocum

Ken Wisniewski2009-2010 legislative Committee Chair

Viewpoint continued from page 5Respectfully submitted

Alachua County Association of Phar-macists

RESOLUTION 8

Continuous quality Improvement Program-Program EvaluationAlachua County Association of Phar-macists

Whereas the CQI Program is a system of standards and procedures to identify and evaluate quality-related events and improve patient care

Whereas some of the main goals of FPA and the Board of Pharmacy is to improve patient care and safety

Whereas an evaluation of the CQI Pro-gram may identify improvements that could be incorporated into the pro-gram

Whereas information about patient safety practices obtained from the pro-gram evaluation would be helpful if shared with the pharmacists of Florida and the nation

Resolved that the FPA request the Flor-ida Board of Pharmacy to conduct a Program evaluation of the Continuous Quality Improvement Program (64B16-27300)

Problem- since the enactment of 64B16-27300 Continuous Quality Improve-ment (CQI) Program there has not been a program evaluation

Intent- The evaluation of the CQI Pro-gram for effectiveness

Respectfully submittedAlachua County Association of Phar-macists

Resolution Adopted

JOIN TODAY

Florida Pharmacy Association

O C T O B e r 2 0 0 9 | 23

RESOLUTION 1Pharmacy Manager in Charge Man-date rule changes for the State require to be on-site 24 hr perweekBroward County Pharmacist Associa-tion Whereas There is no statutory or rule requirement for a Manager in Charge to be present in the PharmacyWhereas over the last few years in-ternet practices and non-pharmacist owned pharmacies have flourished in practice settings that were poorly su-pervisedBe it Resolved that the FPA propose that the Florida Pharmacy Board pro-mulgate rules which safeguard the public by having a Responsible par-ty (Pharmacy Manager of Record) on premises 24 hrs per given weekContact Broward County Pharmacist AssocDaniel P sweet RPhPast President Board Member954-232-8202Intent To protect the public from non-pharmacist owners to influence the practice of pharmacy by placing a phar-macist on record without reviewing the day to day operations of Pharmacy Practice and its Rules and statuesResolution Not AdoptedRespectfully SubmittedBroward County Pharmacist Associa-tion

RESOLUTION 2

Repeal 40 hr Rule for Community Pharmacy PermitBroward County Pharmacist Associa-tion Whereas the Practice of Pharmacy is evolving to an Information Profession where pharmacists will be reviewing medication therapyWhereas in populated areas there are multiple pharmacies in a compact radi-usBe it Resolved that the Florida Board of Pharmacy act in repealing the 40 hr rule for Community Pharmacy Permit withstanding that there is a pharmacy within 5 miles with extended hours or a 24 hr pharmacy within 2 milesContact

Daniel P sweet RPhPast President Board Member Broward County Pharmacist Assoc954-232-8202 Intent With Pharmacy Practice evolv-ing with more Pharmacists are going to use there education to create office type practice The Pharmacist will need to be off-site to review medications and council patients on the use of their medicationRespectfully SubmittedBroward County Pharmacist Associa-tion Motion to amendAmendment passedSpeaker unable to determine the posi-tion of the House on voice voteStanding vote called for by the House SpeakerResolution adopted on standing vote

RESOLUTION 3

Physician Dispensing ndash Limiting Scope as Pertains to Controlled Sub-stancesBroward County Pharmacists Associa-tionWhereas a significant problem regard-ing the misuse of controlled substances in our state has been identified andWhereas the checks and balances that the pharmacist brings to the equation of reducing the potential for misuse of controlled substances due to conflicts of interest is circumvented in the phy-sician dispensing model Be it Resolved that the FPA seek legis-lative changes to limit the in-office dis-pensing of controlled substances up to and not more than a three (3) day sup-ply Contact Broward County Pharmacists Associa-tionDaniel P sweet RPhPast President Board Member954-232-8202Motion to amend the phrase ldquowork with the respective BoardsrdquoAmendment is adoptedMotion to amend by adding the words ldquouprdquo and the words ldquoand not more thanrdquo to the first sentenceMotion to amend passes

Motion to amend by striking the last sentence of the resolveMotion to amend passesResolution AdoptedIntent With the advent of Pain Man-agement Clinics with Dispensaries Pa-tient safety and control is lost by not having a Pharmacist oversee the pa-tientsrsquo therapeutic management with-in the guidelines of the FDA and Con-trolled substance Abuse Act

RESOLUTION 4

Pharmacy Service TaxBroward County Pharmacists Associa-tionWhereas Pharmacy has assumed the burden of absorbing the costs associat-ed with receiving and sending data to all sourcesWhereas these costs continue to grow and are not associated with the cost of the product or filling fee received thenBe it Resolved that the FPA work with the proper legislative process for the state to create a TAX for prescriptions to cover all communication costs inher-ent in Rx processing for e-prescribing communications to PBMrsquos and data re-porting costs for handling in-state re-porting of Controlled substancesBe it Further Resolved that the col-lected tax be used only for Pharmacy Claims Administrative Costs in han-dling the claims and bear no economic andor administrative burdens on the pharmacyResolution Not AdoptedContact Broward County Pharmacists Associa-tionDaniel P sweet RPhPast President Board Member954-232-8202Intent With greater dependency on data network and associated costs to all pharmacies we have been placed in a pinch With the state controlling the process we gain on many fronts First no back-end costs on any Rx claim next the state can legally charge PBMrsquos un-der contract and will be responsible for collecting the tax and lastly the state can use their collective bargain-ing power to reduce the costs associat-

EmailFax Network HotlineReceive up-to-date and up-to-the-min-ute information on legislative Develop-ments Board of Pharmacy changes and other topics affecting the profession of pharmacy Call FPA Member services at (850) 222-2400 ext 110 ndash rsimmonspharmviewcom

Tax ResourceProvides defense and protection of your assets when you are audited Tax Resource will defend their clients for any income tax audit Federal or state for any tax year Tax Resource pio-neered the tax audit service business and is the largest audit defense firm in the United states Call (800) 92-AUDIT (800-922-8348)

Atlantic Coupon Redemption Center Receive payment in 25 working days of couponrsquos face value plus a rebate of 16 cents based on store volume Call Meredith McCord (800) 223-0398

Florida Commerce Federal Credit Union The chief objective of a credit union is not generating profits for stockholders but to provide service to its member The members benefit by getting attrac-tive returns on savings loans made at fair rates of interest plus enhanced and expanded services This is probably one of the best deals around Call (850) 488-0035

Collection Services For past due accounts call I C system Inc Call (800) 328-9595

Other Member Benefits n Discounted Continuing education

Programsn Monthly Issues of the Florida Phar-

macy Today Journal

ITC Deltacom offering FPA members exclusive associa-tion discounts on telecommunication ser-vices including local services long dis-tance data networks telephone systems and dedicated internet access Call 850-701-3200 or visit wwwitcdeltacomcom

Pharmacy Resource Materials FPA provides the most recent and rele-vant resources necessary to meet your professional needs This includes the Continuous Quality Improvement Manu-al Controlled substance Inventory Book-lets and Pharmacy signs Please call FPA Members services for more information 850-222-2400 ext 110

FPA Website Visit our FPA Website at wwpharmviewcom The site launched in December 2004 and revised in october 2008 includes a members only section The website of-fers a secure server so that you can reg-isters for Ce programs renew your mem-bership or purchase resources materials with your credit card

in keeping with a tradition of offering our members real benefits the Florida Pharmacy association (FPa) is proud to announce the introduction of sponsored discount Benefits Program these vendors are dedicated to providing an excellent value to all FPa members and associates to take advantage of benefits contact the vendors directly at the numbers listed below and identify yourself as a FPa member and have your membership id number handy

MEMBERSHIP MATTERS

Florida Pharmacy Association

24 | f L O r i d a p h a r m a C y T O d a y

Wyeth Bowl of Hygeia

Awarded to a pharmacist for out-standing community service above and beyond professional duties The use of the following selection criteria is re-quired

The recipient must be a Florida li- n

censed pharmacist and a member of FPAThe recipient must be living Awards n

are not presented posthumouslyThe recipient has not previously re- n

ceived the awardThe recipient is not currently serving n

nor has heshe served within the immediate past 2 years on its award committee or an officer of the asso-ciation in other than an ex officio ca-pacityThe recipient has compiled an out- n

standing record of community ser-vice which apart from hisher spe-cific identification as a pharmacist reflects well on the profession

James H Beal Award

Awarded to the Pharmacist of the Year The criteria established for this award is that the recipient be a Flori-da registered pharmacist and a mem-ber of FPA who has rendered outstand-ing service to pharmacy within the past five yearsCriteria

The recipient must be a Florida reg- n

istered pharmacist and a member of the FPAThe recipient has rendered outstand- n

ing service to pharmacy within the past five years

Technician of the Year AwardAwarded annually to a Florida

pharmacy technician who is recog-nized for hisher outstanding perfor-mance and achievement during hisher career

Criteria

Candidate must be a member of n

the Florida Pharmacy Association for at least 2 yearsCandidate must have demonstrat- n

ed contributions and dedication to the advancement of pharmacy technician practiceCandidate must have demonstrat- n

ed contributions to the Florida Pharmacy Association andor oth-er pharmacy organizationsCandidate must have demonstrat- n

ed commitment to community ser-viceCandidate is not a past recipient of n

this award

RQ Richards Award

This award is based on outstanding achievement in the field of pharmaceu-tical public relations in FloridaCriteria

The recipient must be a Florida reg- n

istered pharmacist and a member of the FPAThe recipient has displayed out- n

standing achievement in the field of pharmaceutical public relations in Florida

Frank TobackAZO Consultant

Pharmacist Award

CriteriaCandidate must be an FPA member n

registered with the Florida Board of Pharmacy as a consultant pharma-cist in good standingCandidate should be selected based n

on their outstanding achievements in the field of consultant pharmacy

DCPA Sidney Simkowitz

Pharmacy Involvement Award

Presented annually to a Florida pharmacist who has been active at the local and state pharmacy association level in advancement of the profes-sion of pharmacy in Florida

CriteriaA minimum of five years of active n

involvement in and contributions to the local association and FPACandidate must have held office at n

local level pharmacy associationMember in good standing for a pe- n

riod of at least five years in the FPA and must have served as a member or chairman of a committee of the associationCandidate must have been active- n

ly involved in a project that has or could potentially be of benefit to members of the profession

Pharmacists Mutual Companies

Distinguished Young Pharmacist

Award

Awarded to a young pharmacist for their involvement and dedication to the practice of pharmacyCriteria

licensed to practice for nine (9) years n

or lesslicensed to practice in the state in n

which selectedParticipation in national pharmacy n

association professional programs andor community service

IPA Roman Maximo Corrons

Inspiration amp Motivation Award

Interamerican Pharmacists Association created this award to honor the memo-ry of Roman M Corrons who inspired and motivated countless pharmacists to participate actively and aspire to take on leadership roles in their profession Roman was always there with guidance and support that motivated pharma-cists and encouraged visionary leader-ship approachable active membership and succession planning This award recognizes the motivators among us who inspire others to continue to ad-vance the professionCriteria

C a L L f O r N O m i N a T i O N s F P A A W A R D S 2 0 0 9 - 2 0 1 0

O C T O B e r 2 0 0 9 | 25

DEADLINE FOR NOMINATIONS FEBRUARY 28 2010

The recipient must be a Florida li- n

censed Pharmacist and a member of the FPACandidate should motivate others n

to excel within the profession by en-couraging them to be leadersCandidate is not necessarily an as- n

sociation officer but guides sup-ports andor inspires others

A brief description on the candidatersquos motivationalinspirational skills must accompany the nomination

The Jean Lamberti

Mentorship Award

The Jean lamberti Mentorship Award was established in 1998 to hon-or those pharmacists who have taken time to share their knowledge and ex-

perience with pharmacist candidates The award is named in honor of long time FPA member Jean lamberti for her effort in working with pharmacy studentsCriteria

The recipient must be an FPA mem- n

berThe recipient must serve as a role n

model for the profession of pharmacy

Innovative Pharmacy Practice

Award

Awarded to honor practicing phar-macists who have demonstrated inno-vation in pharmacy practice that has resulted in improved patient careCriteria

The recipient has demonstrated inno- n

vative pharmacy practice resulting in improved patient careThe recipient should be a practic- n

ing pharmacist within the geograph-ic area represented by the presenting Association

Qualified nominee A pharmacist prac-ticing within the geographic area repre-sented by the presenting Association

I AM PLEASED TO SUBMIT THE FOLLOWING NOMINATION

Name

Address

FOR THE FOLLOWING AWARD

(Nomination Deadline February 28 2009)

Wyeth Bowl of Hygeia Award

James H Beal Award

RQ Richards Award

Frank TobackAZO Consultant Pharmacist Award

DCPA Sydney Simkowitz Award

Pharmacists Mutual Co Distinguished Young Pharmacist Award

Academy of Pharmacy Practice Practitioner Merit Award

The Jean Lamberti Mentorship Award

IPA Roman Maximo Corrons Inspiration amp Motivation Award

Innovative Pharmacy Practice Award

Technician of the Year Award

NOMINATED BY

Name

Date Submitted

Signature

Please describe briefly below the nominees accomplishments indicating why you feel he or she should receive this award (Attach additional sheets if necessary)

C a L L f O r N O m i N a T i O N s F P A A W A R D S 2 0 0 9 - 2 0 1 0

F P A A W A R D S N O M I N A T I O N F O R M

mail nominatons to annual awards Florida Pharmacy association 610 n adams st tallahassee Fl 32301(850) 222-2400 FaX (850) 561-6758 dEadlinE For nominations is FEBrUary 28 2010

26 | f L O r i d a p h a r m a C y T O d a y

CALL FOR RESOLUTIONS TO THE 2010 HOUSE OF DELEGATES

The House of Delegates Board of Directors will meet in March 2010 to review and approve resolu-tions for the Annual Meeting The deadline for submitting resolutions is March 15 2010 PleAse noTe THIs DeADlIne

The following information will be needed when submitting resolutions

1 name of organization The name of the organization submitting the resolutions(s)2 name and telephone number of individuals A contact in the event clarification or further in-

formation is needed 3 Problem A statement of the problem addressed by the resolution4 Intent A statement of what passage of the resolution will accomplish5 Resolution Format (please type and use double spacing)

TiTle of ResoluTion

name of oRganizaTion

WheReas and

WheReas

TheRefoRe be iT

Resolved (ThaT The fPa oR subdivision of fPa)

ConTaCT name and Phone

PRoblem

inTenT

Page 18: October 2009 Florida Pharmacy Journal

18 | f L O r i d a p h a r m a C y T O d a y

duce the number of people that high-risk employees come in contact with such as exploring options for telecom-muting from home (if feasible) employers can also think about how workers at higher risk for influenza compli-cations could be reassigned to duties that have minimal contact with other employees clients or customers If these workers cannot be reassigned duties to reduce con-tact with others are concerned about their ability to avoid influenza at the workplace or will be in crowded condi-tions at work or while commuting to work then consider allowing employees at higher risk for influenza complica-tions to stay home from workCDC recommends that ill workers at higher risk of com- n

plications from influenza seek early treatment if they be-come illsee n httpwwwcdcgovh1n1fluqahtm for more infor-mation

CONSIDER INCREASINg SOCIAL DISTANCINg IN THE WORKPLACE

If influenza severity increases local public health offi- n

cials may recommend that employers implement mea-sures to increase the physical distance between people in the workplace to reduce the spread of influenza The goal should be for there to be at least 6 feet of distance between people at most times This is not a simple or easy strategy and would typically require considerable flexibility These measures may include avoiding crowded work settings canceling business-related face-to-face meetings spacing workers farther apart canceling non-essential travel in-creasing use of teleworking and using staggered shifts to allow fewer workers to be in the workplace at the same time9

If appropriate for your type of business and feasible re- n

view or develop policies for teleworking including an as-sessment of the capabilities and gaps of your current com-puter systems and availability of technical support Take remedial steps if needed and test your system in advance to assure it can handle an increase in remote usersRecommendations to increase social distancing may af- n

fect community functioning Because supply chain issues may be affected make sure you have plans for back-up suppliers

CONSIDER CANCELINg NON-ESSENTIAL BuSINESS TRAVEL AND ADVISINg EMPLOYEES ABOuT POSSIBLE DISRuPTIONS WHILE TRAVELINg OVERSEAS

If the severity of the outbreak worldwide increases in the n

fall or winter public health officials may recommend so-cial distancing strategies which include canceling non-es-sential travel and travel restrictions may be enacted by some countries which may limit the ability of employees to return home if they become ill while on travel statusIf influenza severity increases travelers should also be n

prepared for travel delays health screenings and other activities targeted towards travelers Provide information to travelers about contingency plans and how their travel

can be rebooked for these possible delays

PREPARE FOR SCHOOL DISMISSAL OR CLOSuRE OF CHILD CARE PROgRAMS

school dismissals and closure of child care programs are n

more likely at higher levels of severity Be prepared to allow workers to stay home to care for their children if schools are dismissed or child care programs are closed If dismissal is needed schools are being advised to dis-miss students for at least 5 to 7 calendar days or longer if necessary encourage employees who perform essential functions n

and who have children to plan for contingencies should local child care programs close or schools dismiss stu-dents Be prepared for prolonged absenteeism if schools dismiss n

students for an extended time Make sure your leave poli-cies are flexible and non-punitive employers should strongly recommend that parents not n

bring their children with them to work while schools are dismissedImplement flexible workplace policies like teleworking n

and staggered shifts Cross-train employees to cover essential functions n

Read CDCrsquos school guidance which can be found at n

httpwwwcdcgovh1n1fluschoolsschoolguidancehtm to better understand the conditions under which schools may be dismissed

OTHER CONSIDERATIONSAs part of their comprehensive pandemic planning n

some public and private sector employers have stock-piled or otherwise arranged for influenza antiviral drugs to be available for their employees during a pandemic To guide these efforts HHs released guidance to busi-nesses in 2008 entitled Considerations for Antiviral Drug Stockpiling by Employers in Preparation for an Influenza Pan-demic (httpwwwflugovvaccineantiviral_employershtml) see updated interim guidance on the use of antivi-ral agents for treatment and prophylaxis of 2009 H1n1 in-fluenza infection at httpwwwcdcgovh1n1flurecom-mendationshtmemployers should be aware that the severity of 2009 n

H1n1 influenza could change rapidly therefore local public health recommendations to communities and busi-nesses could be revised quickly Planners should identi-fy sources of timely and accurate information so they are aware of changes to recommendations and can promptly implement revised or additional measures recommended by local public health officials

O C T O B e r 2 0 0 9 | 19

The Florida Pharmacy Association 2009 ResolutionsPresented to the House of Delegates

It is an honor to serve as your 2009-2010 FPA speaker of the House of Delegates I have the privilege of follow-ing in the footsteps of some of FPArsquos most effective and prominent leaders and speakers including most recently suzanne Kelly

The House meeting held during the 2009 FPA An-nual Meeting in st Augustine was a lively and exciting meeting for our association If you missed the meeting or unaware of how the FPA House of Delegates serves itrsquos membership I strongly encourage you to contact myself directly or any of the FPA House of Delegates Board of Di-rectors Any one of us will be happy to get you involved and excited about this group and share with you how ev-ery resolution directly impacts the direction of the associ-ation and you its member

The FPA Board of Directors of the House of Delegates is made up of the following faithful memberssuzanne Kelly ndash Chair of the House of Delegates Board

of DirectorsAlexander Pytlarz ndash speaker of the House of DelegatesWilliam Riffee ndash Vice-speakershannon Zandy ndash DirectorCaridad Ferree ndash DirectorJosh Fields ndash Director Karen Whalen ndash FPA PresidentHumberto Martinez ndash FPA President-electMichael A Mone ndash ParliamentarianMichael A Jackson ndash FPA executive Vice President amp

Ceoon behalf of the House Board of Directors Irsquod like to

welcome the newest members of the House Board of Di-

rectors Dean William Riffee Vice-speaker and Caridad Ferree Director were elected at this years FPA Annual Meeting We look forward to their involvement

The House also had the privilege of introducing two new invited organizations to the House They are nige-rian Pharmacists Association and Florida Independent Pharmacy network

If any member represents an organization that wants to be involved in the House of Delegates please contact me directly I will be happy to work with you and your or-ganization so you are represented within the House and have your voice heard by all FPA members

At this past yearrsquos meeting the House reviewed eight submitted resolutions Below is a summary of the actions of the each resolution that the House took and to what committee the adopted resolutions were referred to by your President Karen Whalen Please review these reso-lutions as they will impact the policies and direction of our association If you have any comments or questions please feel free to contact me or any member of the House Board As always itrsquos never too early to start thinking about possible resolutions for next years House

Thank you for the opportunity to serve you and the Florida Pharmacy Association

Best regards

Alexander Pytlarz2009-2010 speaker of the House of Delegates

RESOLUTION 1

Pharmacy Manager in Charge Man-date rule changes for the State require to be on-site 24 hr perweekBroward County Pharmacist Associa-tion

Whereas There is no statutory or rule requirement for a Manager in Charge to be present in the Pharmacy

Whereas over the last few years in-ternet practices and non-pharmacist owned pharmacies have flourished in practice settings that were poorly su-pervised

Be it Resolved that the FPA propose that the Florida Pharmacy Board pro-mulgate rules which safeguard the public by having a Responsible par-ty (Pharmacy Manager of Record) on

premises 24 hrs per given week

Contact Broward County Pharmacist AssocDaniel P sweet RPhPast President Board Member954-232-8202

Intent To protect the public from non-pharmacist owners to influence the practice of pharmacy by placing a phar-

20 | f L O r i d a p h a r m a C y T O d a y

macist on record without reviewing the day to day operations of Pharmacy Practice and its Rules and statues

Resolution not Adopted

Respectfully submitted

Broward County Pharmacist Associa-tion

RESOLUTION 2

Repeal 40 hr Rule for Community Pharmacy PermitBroward County Pharmacist Associa-tion

Whereas the Practice of Pharmacy is evolving to an Information Profession where pharmacists will be reviewing medication therapy

Whereas in populated areas there are multiple pharmacies in a compact radi-us

Be it Resolved that the Florida Board of Pharmacy act in repealing the 40 hr rule for Community Pharmacy Permit withstanding that there is a pharmacy within 5 miles with extended hours or a 24 hr pharmacy within 2 miles

Contact Daniel P sweet RPhPast President Board Member Broward County Pharmacist Assoc954-232-8202

Intent With Pharmacy Practice evolv-ing with more Pharmacists are going to use there education to create office type practice The Pharmacist will need to be off-site to review medications and council patients on the use of their medication

Respectfully submittedBroward County Pharmacist Associa-tion

Motion to amendAmendment passedspeaker unable to determine the posi-

tion of the House on voice votestanding vote called for by the House speakerResolution adopted on standing vote

RESOLUTION 3

Physician Dispensing ndash Limiting Scope as Pertains to Controlled Sub-stancesBroward County Pharmacists Associa-tion

Whereas a significant problem regard-ing the misuse of controlled substances in our state has been identified and

Whereas the checks and balances that the pharmacist brings to the equation of reducing the potential for misuse of controlled substances due to conflicts of interest is circumvented in the phy-sician dispensing model

Be it Resolved that the FPA seek legis-lative changes to limit the in-office dis-pensing of controlled substances up to and not more than a three (3) day sup-ply Contact Broward County Pharmacists AssociationDaniel P sweet RPhPast President Board Member954-232-8202

Motion to amend the phrase ldquowork with the respective BoardsrdquoAmendment is adoptedMotion to amend by adding the words ldquouprdquo and the words ldquoand not more thanrdquo to the first sentenceMotion to amend passesMotion to amend by striking the last sentence of the resolveMotion to amend passesResolution Adopted

Intent With the advent of Pain Man-agement Clinics with Dispensaries Pa-tient safety and control is lost by not having a Pharmacist oversee the pa-tientsrsquo therapeutic management with-in the guidelines of the FDA and Con-trolled substance Abuse Act

RESOLUTION 4

Pharmacy Service TaxBroward County Pharmacists Associa-tion

Whereas Pharmacy has assumed the burden of absorbing the costs associat-ed with receiving and sending data to all sources

Whereas these costs continue to grow and are not associated with the cost of the product or filling fee received then

Be it Resolved that the FPA work with the proper legislative process for the state to create a TAX for prescriptions to cover all communication costs inher-ent in Rx processing for e-prescribing communications to PBMrsquos and data re-porting costs for handling in-state re-porting of Controlled substances

Be it Further Resolved that the col-lected tax be used only for Pharmacy Claims Administrative Costs in han-dling the claims and bear no economic andor administrative burdens on the pharmacy

Resolution not Adopted

Contact Broward County Pharmacists AssociationDaniel P sweet RPhPast President Board Member954-232-8202

Intent With greater dependency on data network and associated costs to all pharmacies we have been placed in a pinch With the state controlling the process we gain on many fronts First no back-end costs on any Rx claim next the state can legally charge PBMrsquos un-der contract and will be responsible for collecting the tax and lastly the state can use their collective bargain-ing power to reduce the costs associat-ed with data transmission

Respectfully submitted

Broward County Pharmacists Associa-tion

O C T O B e r 2 0 0 9 | 21

RESOLUTION 5

RPh Not a Degree Designationleon County Pharmacy Association

WHEREAS pharmacists with a PharmD degree very proudly and rightfully use their degree designation of PharmD with their name and

WHEREAS pharmacists with a BsP degree generally use RPh with their name and

WHEREAS the designation of RPh for Registered Pharmacist is not a degree designation and was enacted into the original Florida Pharmacy Practice Act of 1889 The current practice act defines a pharmacist as a licensed Pharmacist lPh

THEREFORE the leon County Phar-macy Association moves that the FPA promote the use of the BPharm desig-nation for the BsP degree in place of the RPh designation which no longer is ref-erenced in the Florida Pharmacy Prac-tice Act

Motion to amendMotion to amend failsResolution Adopted

Contact persons Michael A Jackson- (850) 222- 2400Jim Powers- (850) 422- 0079

Background The resolution pretty well speaks for itself however it should be noted that in most national pharmacy publications pharmacists with a BsP degree are using the BPharm designa-tion behind their names In research-ing Dr Gene Gramlingrsquos book ldquoA His-tory of Pharmacy in Floridardquo it has the Florida Pharmacy Practice Act of 1889 which reads as follows section 4 Be it further enacted that the Board of Phar-macy shall register in a suitable book the names and places of residence of all persons to whom they issue certifi-cates and dates thereof It shall be the duty of said Board of Pharmacy to reg-ister without examination as registered pharmacists all pharmacists and drug-gists who are engaged in business in

the state of Florida at the passage of this act as owners or principals of stores or pharmacies In any village town or city of more than 200 inhabitants helliprdquo

RESOLUTION 6

Long Term Care regulatory frame-workFlorida Chapter of American society of Consultant Pharmacist

Whereas the Florida regulatory frame-work for long-term care pharmacy should be reviewed periodically to en-sure that it is consistent with current practice the FPA legislative commit-tee resolves to coordinate with the Flor-ida Chapter of the American society of Consultant Pharmacists to review the current regulatory framework for long-Term Care pharmacy in Florida

Resolved that the FPA legislative Committee coordinate with the Flori-da Chapter of the American society of Consultant Pharmacists to review the current regulatory framework for long-Term Care Pharmacy in Florida

Resolve substituted by the sponsor and accepted by the House substitute Resolution Adopted

Contact name and Phone stephen J Grabowski (727) 945-0760

Problem As the number of our nationrsquos seniors has grown so to have the de-mands and challenges placed upon the pharmacists serving those seniors who live in long-term care facilities since the practice of pharmacy has evolved over the years with increased workload demands changing roles of pharmacy technicians and new technologies so too have the regulatory guidelines and oversight responsibilities of the state boards

Intent not only will the practice of pharmacy need to adapt to the needs of seniors in long-term care facilities but state board of pharmacies and phar-macists under their preview must un-

derstand the impact of these changes Pharmacists practicing in long-term care must collaborate with state boards of pharmacy to update practice acts to ensure the protection of the health safety and welfare of the public

RESOLUTION 7

Evaluation of the ldquoPedigree Docu-mentation Programrdquo as stated in Flor-ida Statue 499Alachua County Association of Phar-macists

Whereas Florida statue 499 states that its purpose is to safeguard the public health and promote the public welfare by protecting the public from injury by product use and by merchandising de-ceit involving drugs devices and cos-metics

Whereas Pharmacies Pharmacists Pharmacy Wholesalers Pharmaceuti-cal Manufacturers and Pharmacy Re-packagers are all an integral part of this program

Whereas there is financial costs associ-ated with this program

Whereas there are penalties associated with this program

RESOLVED - The FPA request the Agency for Health Care Administra-tion to evaluate the ldquoPedigree Docu-mentation Programrdquo (49901212) to de-termine effectiveness and identification of improvements in the program for the protection of the public safety

Problem - The state of Florida enact-ed the ldquoPedigree Documentation Pro-gramrdquo (49901212) to keep adulterated and misbranded pharmaceuticals from consumers

Intent - To determine the effectiveness of the ldquoPedigree Documentation Pro-gramrdquo in achieving its purpose

Resolution Adopted

22 | f L O r i d a p h a r m a C y T O d a y

sion forward Please join us in Talla-hassee next March

FPA Legislative Key Contact Network

The FPA legislative Committee would like to match up at least one pharmacist with every key legisla-tor in the state If you currently have a relationship with one of your state legislators or if you are willing to take the steps listed above to be one of our grassroots advocates we want to know sign up to be a member of our Key legislative Contacts If you can help please let us know by con-tacting any member of the legisla-tive Committee listed below or you may contact me directly at klwizcomcastnet

lastly your legislative Commit-tee deserves a BIG ldquoThank Yourdquo for their time and effort These mem-bers have stepped up to help our profession grow and prosper Fol-lowing is a list of the members of the 2009-2010 FPA legislative Commit-teeDavid AndrewsDon BergemannGary DalinMitchell FingerhutAmy FerrolRamy GabrielMark HobbsMichael JacksonHumberto MartinezMark PercifieldManny PrieguezAlexander PytlarzTeysha RichardsonWilliam RiffeeTheresa Tollenorman TomakaAmanda Waltemathlori WeemsKaren WhalenRobert WilburChristine Yocum

Ken Wisniewski2009-2010 legislative Committee Chair

Viewpoint continued from page 5Respectfully submitted

Alachua County Association of Phar-macists

RESOLUTION 8

Continuous quality Improvement Program-Program EvaluationAlachua County Association of Phar-macists

Whereas the CQI Program is a system of standards and procedures to identify and evaluate quality-related events and improve patient care

Whereas some of the main goals of FPA and the Board of Pharmacy is to improve patient care and safety

Whereas an evaluation of the CQI Pro-gram may identify improvements that could be incorporated into the pro-gram

Whereas information about patient safety practices obtained from the pro-gram evaluation would be helpful if shared with the pharmacists of Florida and the nation

Resolved that the FPA request the Flor-ida Board of Pharmacy to conduct a Program evaluation of the Continuous Quality Improvement Program (64B16-27300)

Problem- since the enactment of 64B16-27300 Continuous Quality Improve-ment (CQI) Program there has not been a program evaluation

Intent- The evaluation of the CQI Pro-gram for effectiveness

Respectfully submittedAlachua County Association of Phar-macists

Resolution Adopted

JOIN TODAY

Florida Pharmacy Association

O C T O B e r 2 0 0 9 | 23

RESOLUTION 1Pharmacy Manager in Charge Man-date rule changes for the State require to be on-site 24 hr perweekBroward County Pharmacist Associa-tion Whereas There is no statutory or rule requirement for a Manager in Charge to be present in the PharmacyWhereas over the last few years in-ternet practices and non-pharmacist owned pharmacies have flourished in practice settings that were poorly su-pervisedBe it Resolved that the FPA propose that the Florida Pharmacy Board pro-mulgate rules which safeguard the public by having a Responsible par-ty (Pharmacy Manager of Record) on premises 24 hrs per given weekContact Broward County Pharmacist AssocDaniel P sweet RPhPast President Board Member954-232-8202Intent To protect the public from non-pharmacist owners to influence the practice of pharmacy by placing a phar-macist on record without reviewing the day to day operations of Pharmacy Practice and its Rules and statuesResolution Not AdoptedRespectfully SubmittedBroward County Pharmacist Associa-tion

RESOLUTION 2

Repeal 40 hr Rule for Community Pharmacy PermitBroward County Pharmacist Associa-tion Whereas the Practice of Pharmacy is evolving to an Information Profession where pharmacists will be reviewing medication therapyWhereas in populated areas there are multiple pharmacies in a compact radi-usBe it Resolved that the Florida Board of Pharmacy act in repealing the 40 hr rule for Community Pharmacy Permit withstanding that there is a pharmacy within 5 miles with extended hours or a 24 hr pharmacy within 2 milesContact

Daniel P sweet RPhPast President Board Member Broward County Pharmacist Assoc954-232-8202 Intent With Pharmacy Practice evolv-ing with more Pharmacists are going to use there education to create office type practice The Pharmacist will need to be off-site to review medications and council patients on the use of their medicationRespectfully SubmittedBroward County Pharmacist Associa-tion Motion to amendAmendment passedSpeaker unable to determine the posi-tion of the House on voice voteStanding vote called for by the House SpeakerResolution adopted on standing vote

RESOLUTION 3

Physician Dispensing ndash Limiting Scope as Pertains to Controlled Sub-stancesBroward County Pharmacists Associa-tionWhereas a significant problem regard-ing the misuse of controlled substances in our state has been identified andWhereas the checks and balances that the pharmacist brings to the equation of reducing the potential for misuse of controlled substances due to conflicts of interest is circumvented in the phy-sician dispensing model Be it Resolved that the FPA seek legis-lative changes to limit the in-office dis-pensing of controlled substances up to and not more than a three (3) day sup-ply Contact Broward County Pharmacists Associa-tionDaniel P sweet RPhPast President Board Member954-232-8202Motion to amend the phrase ldquowork with the respective BoardsrdquoAmendment is adoptedMotion to amend by adding the words ldquouprdquo and the words ldquoand not more thanrdquo to the first sentenceMotion to amend passes

Motion to amend by striking the last sentence of the resolveMotion to amend passesResolution AdoptedIntent With the advent of Pain Man-agement Clinics with Dispensaries Pa-tient safety and control is lost by not having a Pharmacist oversee the pa-tientsrsquo therapeutic management with-in the guidelines of the FDA and Con-trolled substance Abuse Act

RESOLUTION 4

Pharmacy Service TaxBroward County Pharmacists Associa-tionWhereas Pharmacy has assumed the burden of absorbing the costs associat-ed with receiving and sending data to all sourcesWhereas these costs continue to grow and are not associated with the cost of the product or filling fee received thenBe it Resolved that the FPA work with the proper legislative process for the state to create a TAX for prescriptions to cover all communication costs inher-ent in Rx processing for e-prescribing communications to PBMrsquos and data re-porting costs for handling in-state re-porting of Controlled substancesBe it Further Resolved that the col-lected tax be used only for Pharmacy Claims Administrative Costs in han-dling the claims and bear no economic andor administrative burdens on the pharmacyResolution Not AdoptedContact Broward County Pharmacists Associa-tionDaniel P sweet RPhPast President Board Member954-232-8202Intent With greater dependency on data network and associated costs to all pharmacies we have been placed in a pinch With the state controlling the process we gain on many fronts First no back-end costs on any Rx claim next the state can legally charge PBMrsquos un-der contract and will be responsible for collecting the tax and lastly the state can use their collective bargain-ing power to reduce the costs associat-

EmailFax Network HotlineReceive up-to-date and up-to-the-min-ute information on legislative Develop-ments Board of Pharmacy changes and other topics affecting the profession of pharmacy Call FPA Member services at (850) 222-2400 ext 110 ndash rsimmonspharmviewcom

Tax ResourceProvides defense and protection of your assets when you are audited Tax Resource will defend their clients for any income tax audit Federal or state for any tax year Tax Resource pio-neered the tax audit service business and is the largest audit defense firm in the United states Call (800) 92-AUDIT (800-922-8348)

Atlantic Coupon Redemption Center Receive payment in 25 working days of couponrsquos face value plus a rebate of 16 cents based on store volume Call Meredith McCord (800) 223-0398

Florida Commerce Federal Credit Union The chief objective of a credit union is not generating profits for stockholders but to provide service to its member The members benefit by getting attrac-tive returns on savings loans made at fair rates of interest plus enhanced and expanded services This is probably one of the best deals around Call (850) 488-0035

Collection Services For past due accounts call I C system Inc Call (800) 328-9595

Other Member Benefits n Discounted Continuing education

Programsn Monthly Issues of the Florida Phar-

macy Today Journal

ITC Deltacom offering FPA members exclusive associa-tion discounts on telecommunication ser-vices including local services long dis-tance data networks telephone systems and dedicated internet access Call 850-701-3200 or visit wwwitcdeltacomcom

Pharmacy Resource Materials FPA provides the most recent and rele-vant resources necessary to meet your professional needs This includes the Continuous Quality Improvement Manu-al Controlled substance Inventory Book-lets and Pharmacy signs Please call FPA Members services for more information 850-222-2400 ext 110

FPA Website Visit our FPA Website at wwpharmviewcom The site launched in December 2004 and revised in october 2008 includes a members only section The website of-fers a secure server so that you can reg-isters for Ce programs renew your mem-bership or purchase resources materials with your credit card

in keeping with a tradition of offering our members real benefits the Florida Pharmacy association (FPa) is proud to announce the introduction of sponsored discount Benefits Program these vendors are dedicated to providing an excellent value to all FPa members and associates to take advantage of benefits contact the vendors directly at the numbers listed below and identify yourself as a FPa member and have your membership id number handy

MEMBERSHIP MATTERS

Florida Pharmacy Association

24 | f L O r i d a p h a r m a C y T O d a y

Wyeth Bowl of Hygeia

Awarded to a pharmacist for out-standing community service above and beyond professional duties The use of the following selection criteria is re-quired

The recipient must be a Florida li- n

censed pharmacist and a member of FPAThe recipient must be living Awards n

are not presented posthumouslyThe recipient has not previously re- n

ceived the awardThe recipient is not currently serving n

nor has heshe served within the immediate past 2 years on its award committee or an officer of the asso-ciation in other than an ex officio ca-pacityThe recipient has compiled an out- n

standing record of community ser-vice which apart from hisher spe-cific identification as a pharmacist reflects well on the profession

James H Beal Award

Awarded to the Pharmacist of the Year The criteria established for this award is that the recipient be a Flori-da registered pharmacist and a mem-ber of FPA who has rendered outstand-ing service to pharmacy within the past five yearsCriteria

The recipient must be a Florida reg- n

istered pharmacist and a member of the FPAThe recipient has rendered outstand- n

ing service to pharmacy within the past five years

Technician of the Year AwardAwarded annually to a Florida

pharmacy technician who is recog-nized for hisher outstanding perfor-mance and achievement during hisher career

Criteria

Candidate must be a member of n

the Florida Pharmacy Association for at least 2 yearsCandidate must have demonstrat- n

ed contributions and dedication to the advancement of pharmacy technician practiceCandidate must have demonstrat- n

ed contributions to the Florida Pharmacy Association andor oth-er pharmacy organizationsCandidate must have demonstrat- n

ed commitment to community ser-viceCandidate is not a past recipient of n

this award

RQ Richards Award

This award is based on outstanding achievement in the field of pharmaceu-tical public relations in FloridaCriteria

The recipient must be a Florida reg- n

istered pharmacist and a member of the FPAThe recipient has displayed out- n

standing achievement in the field of pharmaceutical public relations in Florida

Frank TobackAZO Consultant

Pharmacist Award

CriteriaCandidate must be an FPA member n

registered with the Florida Board of Pharmacy as a consultant pharma-cist in good standingCandidate should be selected based n

on their outstanding achievements in the field of consultant pharmacy

DCPA Sidney Simkowitz

Pharmacy Involvement Award

Presented annually to a Florida pharmacist who has been active at the local and state pharmacy association level in advancement of the profes-sion of pharmacy in Florida

CriteriaA minimum of five years of active n

involvement in and contributions to the local association and FPACandidate must have held office at n

local level pharmacy associationMember in good standing for a pe- n

riod of at least five years in the FPA and must have served as a member or chairman of a committee of the associationCandidate must have been active- n

ly involved in a project that has or could potentially be of benefit to members of the profession

Pharmacists Mutual Companies

Distinguished Young Pharmacist

Award

Awarded to a young pharmacist for their involvement and dedication to the practice of pharmacyCriteria

licensed to practice for nine (9) years n

or lesslicensed to practice in the state in n

which selectedParticipation in national pharmacy n

association professional programs andor community service

IPA Roman Maximo Corrons

Inspiration amp Motivation Award

Interamerican Pharmacists Association created this award to honor the memo-ry of Roman M Corrons who inspired and motivated countless pharmacists to participate actively and aspire to take on leadership roles in their profession Roman was always there with guidance and support that motivated pharma-cists and encouraged visionary leader-ship approachable active membership and succession planning This award recognizes the motivators among us who inspire others to continue to ad-vance the professionCriteria

C a L L f O r N O m i N a T i O N s F P A A W A R D S 2 0 0 9 - 2 0 1 0

O C T O B e r 2 0 0 9 | 25

DEADLINE FOR NOMINATIONS FEBRUARY 28 2010

The recipient must be a Florida li- n

censed Pharmacist and a member of the FPACandidate should motivate others n

to excel within the profession by en-couraging them to be leadersCandidate is not necessarily an as- n

sociation officer but guides sup-ports andor inspires others

A brief description on the candidatersquos motivationalinspirational skills must accompany the nomination

The Jean Lamberti

Mentorship Award

The Jean lamberti Mentorship Award was established in 1998 to hon-or those pharmacists who have taken time to share their knowledge and ex-

perience with pharmacist candidates The award is named in honor of long time FPA member Jean lamberti for her effort in working with pharmacy studentsCriteria

The recipient must be an FPA mem- n

berThe recipient must serve as a role n

model for the profession of pharmacy

Innovative Pharmacy Practice

Award

Awarded to honor practicing phar-macists who have demonstrated inno-vation in pharmacy practice that has resulted in improved patient careCriteria

The recipient has demonstrated inno- n

vative pharmacy practice resulting in improved patient careThe recipient should be a practic- n

ing pharmacist within the geograph-ic area represented by the presenting Association

Qualified nominee A pharmacist prac-ticing within the geographic area repre-sented by the presenting Association

I AM PLEASED TO SUBMIT THE FOLLOWING NOMINATION

Name

Address

FOR THE FOLLOWING AWARD

(Nomination Deadline February 28 2009)

Wyeth Bowl of Hygeia Award

James H Beal Award

RQ Richards Award

Frank TobackAZO Consultant Pharmacist Award

DCPA Sydney Simkowitz Award

Pharmacists Mutual Co Distinguished Young Pharmacist Award

Academy of Pharmacy Practice Practitioner Merit Award

The Jean Lamberti Mentorship Award

IPA Roman Maximo Corrons Inspiration amp Motivation Award

Innovative Pharmacy Practice Award

Technician of the Year Award

NOMINATED BY

Name

Date Submitted

Signature

Please describe briefly below the nominees accomplishments indicating why you feel he or she should receive this award (Attach additional sheets if necessary)

C a L L f O r N O m i N a T i O N s F P A A W A R D S 2 0 0 9 - 2 0 1 0

F P A A W A R D S N O M I N A T I O N F O R M

mail nominatons to annual awards Florida Pharmacy association 610 n adams st tallahassee Fl 32301(850) 222-2400 FaX (850) 561-6758 dEadlinE For nominations is FEBrUary 28 2010

26 | f L O r i d a p h a r m a C y T O d a y

CALL FOR RESOLUTIONS TO THE 2010 HOUSE OF DELEGATES

The House of Delegates Board of Directors will meet in March 2010 to review and approve resolu-tions for the Annual Meeting The deadline for submitting resolutions is March 15 2010 PleAse noTe THIs DeADlIne

The following information will be needed when submitting resolutions

1 name of organization The name of the organization submitting the resolutions(s)2 name and telephone number of individuals A contact in the event clarification or further in-

formation is needed 3 Problem A statement of the problem addressed by the resolution4 Intent A statement of what passage of the resolution will accomplish5 Resolution Format (please type and use double spacing)

TiTle of ResoluTion

name of oRganizaTion

WheReas and

WheReas

TheRefoRe be iT

Resolved (ThaT The fPa oR subdivision of fPa)

ConTaCT name and Phone

PRoblem

inTenT

Page 19: October 2009 Florida Pharmacy Journal

O C T O B e r 2 0 0 9 | 19

The Florida Pharmacy Association 2009 ResolutionsPresented to the House of Delegates

It is an honor to serve as your 2009-2010 FPA speaker of the House of Delegates I have the privilege of follow-ing in the footsteps of some of FPArsquos most effective and prominent leaders and speakers including most recently suzanne Kelly

The House meeting held during the 2009 FPA An-nual Meeting in st Augustine was a lively and exciting meeting for our association If you missed the meeting or unaware of how the FPA House of Delegates serves itrsquos membership I strongly encourage you to contact myself directly or any of the FPA House of Delegates Board of Di-rectors Any one of us will be happy to get you involved and excited about this group and share with you how ev-ery resolution directly impacts the direction of the associ-ation and you its member

The FPA Board of Directors of the House of Delegates is made up of the following faithful memberssuzanne Kelly ndash Chair of the House of Delegates Board

of DirectorsAlexander Pytlarz ndash speaker of the House of DelegatesWilliam Riffee ndash Vice-speakershannon Zandy ndash DirectorCaridad Ferree ndash DirectorJosh Fields ndash Director Karen Whalen ndash FPA PresidentHumberto Martinez ndash FPA President-electMichael A Mone ndash ParliamentarianMichael A Jackson ndash FPA executive Vice President amp

Ceoon behalf of the House Board of Directors Irsquod like to

welcome the newest members of the House Board of Di-

rectors Dean William Riffee Vice-speaker and Caridad Ferree Director were elected at this years FPA Annual Meeting We look forward to their involvement

The House also had the privilege of introducing two new invited organizations to the House They are nige-rian Pharmacists Association and Florida Independent Pharmacy network

If any member represents an organization that wants to be involved in the House of Delegates please contact me directly I will be happy to work with you and your or-ganization so you are represented within the House and have your voice heard by all FPA members

At this past yearrsquos meeting the House reviewed eight submitted resolutions Below is a summary of the actions of the each resolution that the House took and to what committee the adopted resolutions were referred to by your President Karen Whalen Please review these reso-lutions as they will impact the policies and direction of our association If you have any comments or questions please feel free to contact me or any member of the House Board As always itrsquos never too early to start thinking about possible resolutions for next years House

Thank you for the opportunity to serve you and the Florida Pharmacy Association

Best regards

Alexander Pytlarz2009-2010 speaker of the House of Delegates

RESOLUTION 1

Pharmacy Manager in Charge Man-date rule changes for the State require to be on-site 24 hr perweekBroward County Pharmacist Associa-tion

Whereas There is no statutory or rule requirement for a Manager in Charge to be present in the Pharmacy

Whereas over the last few years in-ternet practices and non-pharmacist owned pharmacies have flourished in practice settings that were poorly su-pervised

Be it Resolved that the FPA propose that the Florida Pharmacy Board pro-mulgate rules which safeguard the public by having a Responsible par-ty (Pharmacy Manager of Record) on

premises 24 hrs per given week

Contact Broward County Pharmacist AssocDaniel P sweet RPhPast President Board Member954-232-8202

Intent To protect the public from non-pharmacist owners to influence the practice of pharmacy by placing a phar-

20 | f L O r i d a p h a r m a C y T O d a y

macist on record without reviewing the day to day operations of Pharmacy Practice and its Rules and statues

Resolution not Adopted

Respectfully submitted

Broward County Pharmacist Associa-tion

RESOLUTION 2

Repeal 40 hr Rule for Community Pharmacy PermitBroward County Pharmacist Associa-tion

Whereas the Practice of Pharmacy is evolving to an Information Profession where pharmacists will be reviewing medication therapy

Whereas in populated areas there are multiple pharmacies in a compact radi-us

Be it Resolved that the Florida Board of Pharmacy act in repealing the 40 hr rule for Community Pharmacy Permit withstanding that there is a pharmacy within 5 miles with extended hours or a 24 hr pharmacy within 2 miles

Contact Daniel P sweet RPhPast President Board Member Broward County Pharmacist Assoc954-232-8202

Intent With Pharmacy Practice evolv-ing with more Pharmacists are going to use there education to create office type practice The Pharmacist will need to be off-site to review medications and council patients on the use of their medication

Respectfully submittedBroward County Pharmacist Associa-tion

Motion to amendAmendment passedspeaker unable to determine the posi-

tion of the House on voice votestanding vote called for by the House speakerResolution adopted on standing vote

RESOLUTION 3

Physician Dispensing ndash Limiting Scope as Pertains to Controlled Sub-stancesBroward County Pharmacists Associa-tion

Whereas a significant problem regard-ing the misuse of controlled substances in our state has been identified and

Whereas the checks and balances that the pharmacist brings to the equation of reducing the potential for misuse of controlled substances due to conflicts of interest is circumvented in the phy-sician dispensing model

Be it Resolved that the FPA seek legis-lative changes to limit the in-office dis-pensing of controlled substances up to and not more than a three (3) day sup-ply Contact Broward County Pharmacists AssociationDaniel P sweet RPhPast President Board Member954-232-8202

Motion to amend the phrase ldquowork with the respective BoardsrdquoAmendment is adoptedMotion to amend by adding the words ldquouprdquo and the words ldquoand not more thanrdquo to the first sentenceMotion to amend passesMotion to amend by striking the last sentence of the resolveMotion to amend passesResolution Adopted

Intent With the advent of Pain Man-agement Clinics with Dispensaries Pa-tient safety and control is lost by not having a Pharmacist oversee the pa-tientsrsquo therapeutic management with-in the guidelines of the FDA and Con-trolled substance Abuse Act

RESOLUTION 4

Pharmacy Service TaxBroward County Pharmacists Associa-tion

Whereas Pharmacy has assumed the burden of absorbing the costs associat-ed with receiving and sending data to all sources

Whereas these costs continue to grow and are not associated with the cost of the product or filling fee received then

Be it Resolved that the FPA work with the proper legislative process for the state to create a TAX for prescriptions to cover all communication costs inher-ent in Rx processing for e-prescribing communications to PBMrsquos and data re-porting costs for handling in-state re-porting of Controlled substances

Be it Further Resolved that the col-lected tax be used only for Pharmacy Claims Administrative Costs in han-dling the claims and bear no economic andor administrative burdens on the pharmacy

Resolution not Adopted

Contact Broward County Pharmacists AssociationDaniel P sweet RPhPast President Board Member954-232-8202

Intent With greater dependency on data network and associated costs to all pharmacies we have been placed in a pinch With the state controlling the process we gain on many fronts First no back-end costs on any Rx claim next the state can legally charge PBMrsquos un-der contract and will be responsible for collecting the tax and lastly the state can use their collective bargain-ing power to reduce the costs associat-ed with data transmission

Respectfully submitted

Broward County Pharmacists Associa-tion

O C T O B e r 2 0 0 9 | 21

RESOLUTION 5

RPh Not a Degree Designationleon County Pharmacy Association

WHEREAS pharmacists with a PharmD degree very proudly and rightfully use their degree designation of PharmD with their name and

WHEREAS pharmacists with a BsP degree generally use RPh with their name and

WHEREAS the designation of RPh for Registered Pharmacist is not a degree designation and was enacted into the original Florida Pharmacy Practice Act of 1889 The current practice act defines a pharmacist as a licensed Pharmacist lPh

THEREFORE the leon County Phar-macy Association moves that the FPA promote the use of the BPharm desig-nation for the BsP degree in place of the RPh designation which no longer is ref-erenced in the Florida Pharmacy Prac-tice Act

Motion to amendMotion to amend failsResolution Adopted

Contact persons Michael A Jackson- (850) 222- 2400Jim Powers- (850) 422- 0079

Background The resolution pretty well speaks for itself however it should be noted that in most national pharmacy publications pharmacists with a BsP degree are using the BPharm designa-tion behind their names In research-ing Dr Gene Gramlingrsquos book ldquoA His-tory of Pharmacy in Floridardquo it has the Florida Pharmacy Practice Act of 1889 which reads as follows section 4 Be it further enacted that the Board of Phar-macy shall register in a suitable book the names and places of residence of all persons to whom they issue certifi-cates and dates thereof It shall be the duty of said Board of Pharmacy to reg-ister without examination as registered pharmacists all pharmacists and drug-gists who are engaged in business in

the state of Florida at the passage of this act as owners or principals of stores or pharmacies In any village town or city of more than 200 inhabitants helliprdquo

RESOLUTION 6

Long Term Care regulatory frame-workFlorida Chapter of American society of Consultant Pharmacist

Whereas the Florida regulatory frame-work for long-term care pharmacy should be reviewed periodically to en-sure that it is consistent with current practice the FPA legislative commit-tee resolves to coordinate with the Flor-ida Chapter of the American society of Consultant Pharmacists to review the current regulatory framework for long-Term Care pharmacy in Florida

Resolved that the FPA legislative Committee coordinate with the Flori-da Chapter of the American society of Consultant Pharmacists to review the current regulatory framework for long-Term Care Pharmacy in Florida

Resolve substituted by the sponsor and accepted by the House substitute Resolution Adopted

Contact name and Phone stephen J Grabowski (727) 945-0760

Problem As the number of our nationrsquos seniors has grown so to have the de-mands and challenges placed upon the pharmacists serving those seniors who live in long-term care facilities since the practice of pharmacy has evolved over the years with increased workload demands changing roles of pharmacy technicians and new technologies so too have the regulatory guidelines and oversight responsibilities of the state boards

Intent not only will the practice of pharmacy need to adapt to the needs of seniors in long-term care facilities but state board of pharmacies and phar-macists under their preview must un-

derstand the impact of these changes Pharmacists practicing in long-term care must collaborate with state boards of pharmacy to update practice acts to ensure the protection of the health safety and welfare of the public

RESOLUTION 7

Evaluation of the ldquoPedigree Docu-mentation Programrdquo as stated in Flor-ida Statue 499Alachua County Association of Phar-macists

Whereas Florida statue 499 states that its purpose is to safeguard the public health and promote the public welfare by protecting the public from injury by product use and by merchandising de-ceit involving drugs devices and cos-metics

Whereas Pharmacies Pharmacists Pharmacy Wholesalers Pharmaceuti-cal Manufacturers and Pharmacy Re-packagers are all an integral part of this program

Whereas there is financial costs associ-ated with this program

Whereas there are penalties associated with this program

RESOLVED - The FPA request the Agency for Health Care Administra-tion to evaluate the ldquoPedigree Docu-mentation Programrdquo (49901212) to de-termine effectiveness and identification of improvements in the program for the protection of the public safety

Problem - The state of Florida enact-ed the ldquoPedigree Documentation Pro-gramrdquo (49901212) to keep adulterated and misbranded pharmaceuticals from consumers

Intent - To determine the effectiveness of the ldquoPedigree Documentation Pro-gramrdquo in achieving its purpose

Resolution Adopted

22 | f L O r i d a p h a r m a C y T O d a y

sion forward Please join us in Talla-hassee next March

FPA Legislative Key Contact Network

The FPA legislative Committee would like to match up at least one pharmacist with every key legisla-tor in the state If you currently have a relationship with one of your state legislators or if you are willing to take the steps listed above to be one of our grassroots advocates we want to know sign up to be a member of our Key legislative Contacts If you can help please let us know by con-tacting any member of the legisla-tive Committee listed below or you may contact me directly at klwizcomcastnet

lastly your legislative Commit-tee deserves a BIG ldquoThank Yourdquo for their time and effort These mem-bers have stepped up to help our profession grow and prosper Fol-lowing is a list of the members of the 2009-2010 FPA legislative Commit-teeDavid AndrewsDon BergemannGary DalinMitchell FingerhutAmy FerrolRamy GabrielMark HobbsMichael JacksonHumberto MartinezMark PercifieldManny PrieguezAlexander PytlarzTeysha RichardsonWilliam RiffeeTheresa Tollenorman TomakaAmanda Waltemathlori WeemsKaren WhalenRobert WilburChristine Yocum

Ken Wisniewski2009-2010 legislative Committee Chair

Viewpoint continued from page 5Respectfully submitted

Alachua County Association of Phar-macists

RESOLUTION 8

Continuous quality Improvement Program-Program EvaluationAlachua County Association of Phar-macists

Whereas the CQI Program is a system of standards and procedures to identify and evaluate quality-related events and improve patient care

Whereas some of the main goals of FPA and the Board of Pharmacy is to improve patient care and safety

Whereas an evaluation of the CQI Pro-gram may identify improvements that could be incorporated into the pro-gram

Whereas information about patient safety practices obtained from the pro-gram evaluation would be helpful if shared with the pharmacists of Florida and the nation

Resolved that the FPA request the Flor-ida Board of Pharmacy to conduct a Program evaluation of the Continuous Quality Improvement Program (64B16-27300)

Problem- since the enactment of 64B16-27300 Continuous Quality Improve-ment (CQI) Program there has not been a program evaluation

Intent- The evaluation of the CQI Pro-gram for effectiveness

Respectfully submittedAlachua County Association of Phar-macists

Resolution Adopted

JOIN TODAY

Florida Pharmacy Association

O C T O B e r 2 0 0 9 | 23

RESOLUTION 1Pharmacy Manager in Charge Man-date rule changes for the State require to be on-site 24 hr perweekBroward County Pharmacist Associa-tion Whereas There is no statutory or rule requirement for a Manager in Charge to be present in the PharmacyWhereas over the last few years in-ternet practices and non-pharmacist owned pharmacies have flourished in practice settings that were poorly su-pervisedBe it Resolved that the FPA propose that the Florida Pharmacy Board pro-mulgate rules which safeguard the public by having a Responsible par-ty (Pharmacy Manager of Record) on premises 24 hrs per given weekContact Broward County Pharmacist AssocDaniel P sweet RPhPast President Board Member954-232-8202Intent To protect the public from non-pharmacist owners to influence the practice of pharmacy by placing a phar-macist on record without reviewing the day to day operations of Pharmacy Practice and its Rules and statuesResolution Not AdoptedRespectfully SubmittedBroward County Pharmacist Associa-tion

RESOLUTION 2

Repeal 40 hr Rule for Community Pharmacy PermitBroward County Pharmacist Associa-tion Whereas the Practice of Pharmacy is evolving to an Information Profession where pharmacists will be reviewing medication therapyWhereas in populated areas there are multiple pharmacies in a compact radi-usBe it Resolved that the Florida Board of Pharmacy act in repealing the 40 hr rule for Community Pharmacy Permit withstanding that there is a pharmacy within 5 miles with extended hours or a 24 hr pharmacy within 2 milesContact

Daniel P sweet RPhPast President Board Member Broward County Pharmacist Assoc954-232-8202 Intent With Pharmacy Practice evolv-ing with more Pharmacists are going to use there education to create office type practice The Pharmacist will need to be off-site to review medications and council patients on the use of their medicationRespectfully SubmittedBroward County Pharmacist Associa-tion Motion to amendAmendment passedSpeaker unable to determine the posi-tion of the House on voice voteStanding vote called for by the House SpeakerResolution adopted on standing vote

RESOLUTION 3

Physician Dispensing ndash Limiting Scope as Pertains to Controlled Sub-stancesBroward County Pharmacists Associa-tionWhereas a significant problem regard-ing the misuse of controlled substances in our state has been identified andWhereas the checks and balances that the pharmacist brings to the equation of reducing the potential for misuse of controlled substances due to conflicts of interest is circumvented in the phy-sician dispensing model Be it Resolved that the FPA seek legis-lative changes to limit the in-office dis-pensing of controlled substances up to and not more than a three (3) day sup-ply Contact Broward County Pharmacists Associa-tionDaniel P sweet RPhPast President Board Member954-232-8202Motion to amend the phrase ldquowork with the respective BoardsrdquoAmendment is adoptedMotion to amend by adding the words ldquouprdquo and the words ldquoand not more thanrdquo to the first sentenceMotion to amend passes

Motion to amend by striking the last sentence of the resolveMotion to amend passesResolution AdoptedIntent With the advent of Pain Man-agement Clinics with Dispensaries Pa-tient safety and control is lost by not having a Pharmacist oversee the pa-tientsrsquo therapeutic management with-in the guidelines of the FDA and Con-trolled substance Abuse Act

RESOLUTION 4

Pharmacy Service TaxBroward County Pharmacists Associa-tionWhereas Pharmacy has assumed the burden of absorbing the costs associat-ed with receiving and sending data to all sourcesWhereas these costs continue to grow and are not associated with the cost of the product or filling fee received thenBe it Resolved that the FPA work with the proper legislative process for the state to create a TAX for prescriptions to cover all communication costs inher-ent in Rx processing for e-prescribing communications to PBMrsquos and data re-porting costs for handling in-state re-porting of Controlled substancesBe it Further Resolved that the col-lected tax be used only for Pharmacy Claims Administrative Costs in han-dling the claims and bear no economic andor administrative burdens on the pharmacyResolution Not AdoptedContact Broward County Pharmacists Associa-tionDaniel P sweet RPhPast President Board Member954-232-8202Intent With greater dependency on data network and associated costs to all pharmacies we have been placed in a pinch With the state controlling the process we gain on many fronts First no back-end costs on any Rx claim next the state can legally charge PBMrsquos un-der contract and will be responsible for collecting the tax and lastly the state can use their collective bargain-ing power to reduce the costs associat-

EmailFax Network HotlineReceive up-to-date and up-to-the-min-ute information on legislative Develop-ments Board of Pharmacy changes and other topics affecting the profession of pharmacy Call FPA Member services at (850) 222-2400 ext 110 ndash rsimmonspharmviewcom

Tax ResourceProvides defense and protection of your assets when you are audited Tax Resource will defend their clients for any income tax audit Federal or state for any tax year Tax Resource pio-neered the tax audit service business and is the largest audit defense firm in the United states Call (800) 92-AUDIT (800-922-8348)

Atlantic Coupon Redemption Center Receive payment in 25 working days of couponrsquos face value plus a rebate of 16 cents based on store volume Call Meredith McCord (800) 223-0398

Florida Commerce Federal Credit Union The chief objective of a credit union is not generating profits for stockholders but to provide service to its member The members benefit by getting attrac-tive returns on savings loans made at fair rates of interest plus enhanced and expanded services This is probably one of the best deals around Call (850) 488-0035

Collection Services For past due accounts call I C system Inc Call (800) 328-9595

Other Member Benefits n Discounted Continuing education

Programsn Monthly Issues of the Florida Phar-

macy Today Journal

ITC Deltacom offering FPA members exclusive associa-tion discounts on telecommunication ser-vices including local services long dis-tance data networks telephone systems and dedicated internet access Call 850-701-3200 or visit wwwitcdeltacomcom

Pharmacy Resource Materials FPA provides the most recent and rele-vant resources necessary to meet your professional needs This includes the Continuous Quality Improvement Manu-al Controlled substance Inventory Book-lets and Pharmacy signs Please call FPA Members services for more information 850-222-2400 ext 110

FPA Website Visit our FPA Website at wwpharmviewcom The site launched in December 2004 and revised in october 2008 includes a members only section The website of-fers a secure server so that you can reg-isters for Ce programs renew your mem-bership or purchase resources materials with your credit card

in keeping with a tradition of offering our members real benefits the Florida Pharmacy association (FPa) is proud to announce the introduction of sponsored discount Benefits Program these vendors are dedicated to providing an excellent value to all FPa members and associates to take advantage of benefits contact the vendors directly at the numbers listed below and identify yourself as a FPa member and have your membership id number handy

MEMBERSHIP MATTERS

Florida Pharmacy Association

24 | f L O r i d a p h a r m a C y T O d a y

Wyeth Bowl of Hygeia

Awarded to a pharmacist for out-standing community service above and beyond professional duties The use of the following selection criteria is re-quired

The recipient must be a Florida li- n

censed pharmacist and a member of FPAThe recipient must be living Awards n

are not presented posthumouslyThe recipient has not previously re- n

ceived the awardThe recipient is not currently serving n

nor has heshe served within the immediate past 2 years on its award committee or an officer of the asso-ciation in other than an ex officio ca-pacityThe recipient has compiled an out- n

standing record of community ser-vice which apart from hisher spe-cific identification as a pharmacist reflects well on the profession

James H Beal Award

Awarded to the Pharmacist of the Year The criteria established for this award is that the recipient be a Flori-da registered pharmacist and a mem-ber of FPA who has rendered outstand-ing service to pharmacy within the past five yearsCriteria

The recipient must be a Florida reg- n

istered pharmacist and a member of the FPAThe recipient has rendered outstand- n

ing service to pharmacy within the past five years

Technician of the Year AwardAwarded annually to a Florida

pharmacy technician who is recog-nized for hisher outstanding perfor-mance and achievement during hisher career

Criteria

Candidate must be a member of n

the Florida Pharmacy Association for at least 2 yearsCandidate must have demonstrat- n

ed contributions and dedication to the advancement of pharmacy technician practiceCandidate must have demonstrat- n

ed contributions to the Florida Pharmacy Association andor oth-er pharmacy organizationsCandidate must have demonstrat- n

ed commitment to community ser-viceCandidate is not a past recipient of n

this award

RQ Richards Award

This award is based on outstanding achievement in the field of pharmaceu-tical public relations in FloridaCriteria

The recipient must be a Florida reg- n

istered pharmacist and a member of the FPAThe recipient has displayed out- n

standing achievement in the field of pharmaceutical public relations in Florida

Frank TobackAZO Consultant

Pharmacist Award

CriteriaCandidate must be an FPA member n

registered with the Florida Board of Pharmacy as a consultant pharma-cist in good standingCandidate should be selected based n

on their outstanding achievements in the field of consultant pharmacy

DCPA Sidney Simkowitz

Pharmacy Involvement Award

Presented annually to a Florida pharmacist who has been active at the local and state pharmacy association level in advancement of the profes-sion of pharmacy in Florida

CriteriaA minimum of five years of active n

involvement in and contributions to the local association and FPACandidate must have held office at n

local level pharmacy associationMember in good standing for a pe- n

riod of at least five years in the FPA and must have served as a member or chairman of a committee of the associationCandidate must have been active- n

ly involved in a project that has or could potentially be of benefit to members of the profession

Pharmacists Mutual Companies

Distinguished Young Pharmacist

Award

Awarded to a young pharmacist for their involvement and dedication to the practice of pharmacyCriteria

licensed to practice for nine (9) years n

or lesslicensed to practice in the state in n

which selectedParticipation in national pharmacy n

association professional programs andor community service

IPA Roman Maximo Corrons

Inspiration amp Motivation Award

Interamerican Pharmacists Association created this award to honor the memo-ry of Roman M Corrons who inspired and motivated countless pharmacists to participate actively and aspire to take on leadership roles in their profession Roman was always there with guidance and support that motivated pharma-cists and encouraged visionary leader-ship approachable active membership and succession planning This award recognizes the motivators among us who inspire others to continue to ad-vance the professionCriteria

C a L L f O r N O m i N a T i O N s F P A A W A R D S 2 0 0 9 - 2 0 1 0

O C T O B e r 2 0 0 9 | 25

DEADLINE FOR NOMINATIONS FEBRUARY 28 2010

The recipient must be a Florida li- n

censed Pharmacist and a member of the FPACandidate should motivate others n

to excel within the profession by en-couraging them to be leadersCandidate is not necessarily an as- n

sociation officer but guides sup-ports andor inspires others

A brief description on the candidatersquos motivationalinspirational skills must accompany the nomination

The Jean Lamberti

Mentorship Award

The Jean lamberti Mentorship Award was established in 1998 to hon-or those pharmacists who have taken time to share their knowledge and ex-

perience with pharmacist candidates The award is named in honor of long time FPA member Jean lamberti for her effort in working with pharmacy studentsCriteria

The recipient must be an FPA mem- n

berThe recipient must serve as a role n

model for the profession of pharmacy

Innovative Pharmacy Practice

Award

Awarded to honor practicing phar-macists who have demonstrated inno-vation in pharmacy practice that has resulted in improved patient careCriteria

The recipient has demonstrated inno- n

vative pharmacy practice resulting in improved patient careThe recipient should be a practic- n

ing pharmacist within the geograph-ic area represented by the presenting Association

Qualified nominee A pharmacist prac-ticing within the geographic area repre-sented by the presenting Association

I AM PLEASED TO SUBMIT THE FOLLOWING NOMINATION

Name

Address

FOR THE FOLLOWING AWARD

(Nomination Deadline February 28 2009)

Wyeth Bowl of Hygeia Award

James H Beal Award

RQ Richards Award

Frank TobackAZO Consultant Pharmacist Award

DCPA Sydney Simkowitz Award

Pharmacists Mutual Co Distinguished Young Pharmacist Award

Academy of Pharmacy Practice Practitioner Merit Award

The Jean Lamberti Mentorship Award

IPA Roman Maximo Corrons Inspiration amp Motivation Award

Innovative Pharmacy Practice Award

Technician of the Year Award

NOMINATED BY

Name

Date Submitted

Signature

Please describe briefly below the nominees accomplishments indicating why you feel he or she should receive this award (Attach additional sheets if necessary)

C a L L f O r N O m i N a T i O N s F P A A W A R D S 2 0 0 9 - 2 0 1 0

F P A A W A R D S N O M I N A T I O N F O R M

mail nominatons to annual awards Florida Pharmacy association 610 n adams st tallahassee Fl 32301(850) 222-2400 FaX (850) 561-6758 dEadlinE For nominations is FEBrUary 28 2010

26 | f L O r i d a p h a r m a C y T O d a y

CALL FOR RESOLUTIONS TO THE 2010 HOUSE OF DELEGATES

The House of Delegates Board of Directors will meet in March 2010 to review and approve resolu-tions for the Annual Meeting The deadline for submitting resolutions is March 15 2010 PleAse noTe THIs DeADlIne

The following information will be needed when submitting resolutions

1 name of organization The name of the organization submitting the resolutions(s)2 name and telephone number of individuals A contact in the event clarification or further in-

formation is needed 3 Problem A statement of the problem addressed by the resolution4 Intent A statement of what passage of the resolution will accomplish5 Resolution Format (please type and use double spacing)

TiTle of ResoluTion

name of oRganizaTion

WheReas and

WheReas

TheRefoRe be iT

Resolved (ThaT The fPa oR subdivision of fPa)

ConTaCT name and Phone

PRoblem

inTenT

Page 20: October 2009 Florida Pharmacy Journal

20 | f L O r i d a p h a r m a C y T O d a y

macist on record without reviewing the day to day operations of Pharmacy Practice and its Rules and statues

Resolution not Adopted

Respectfully submitted

Broward County Pharmacist Associa-tion

RESOLUTION 2

Repeal 40 hr Rule for Community Pharmacy PermitBroward County Pharmacist Associa-tion

Whereas the Practice of Pharmacy is evolving to an Information Profession where pharmacists will be reviewing medication therapy

Whereas in populated areas there are multiple pharmacies in a compact radi-us

Be it Resolved that the Florida Board of Pharmacy act in repealing the 40 hr rule for Community Pharmacy Permit withstanding that there is a pharmacy within 5 miles with extended hours or a 24 hr pharmacy within 2 miles

Contact Daniel P sweet RPhPast President Board Member Broward County Pharmacist Assoc954-232-8202

Intent With Pharmacy Practice evolv-ing with more Pharmacists are going to use there education to create office type practice The Pharmacist will need to be off-site to review medications and council patients on the use of their medication

Respectfully submittedBroward County Pharmacist Associa-tion

Motion to amendAmendment passedspeaker unable to determine the posi-

tion of the House on voice votestanding vote called for by the House speakerResolution adopted on standing vote

RESOLUTION 3

Physician Dispensing ndash Limiting Scope as Pertains to Controlled Sub-stancesBroward County Pharmacists Associa-tion

Whereas a significant problem regard-ing the misuse of controlled substances in our state has been identified and

Whereas the checks and balances that the pharmacist brings to the equation of reducing the potential for misuse of controlled substances due to conflicts of interest is circumvented in the phy-sician dispensing model

Be it Resolved that the FPA seek legis-lative changes to limit the in-office dis-pensing of controlled substances up to and not more than a three (3) day sup-ply Contact Broward County Pharmacists AssociationDaniel P sweet RPhPast President Board Member954-232-8202

Motion to amend the phrase ldquowork with the respective BoardsrdquoAmendment is adoptedMotion to amend by adding the words ldquouprdquo and the words ldquoand not more thanrdquo to the first sentenceMotion to amend passesMotion to amend by striking the last sentence of the resolveMotion to amend passesResolution Adopted

Intent With the advent of Pain Man-agement Clinics with Dispensaries Pa-tient safety and control is lost by not having a Pharmacist oversee the pa-tientsrsquo therapeutic management with-in the guidelines of the FDA and Con-trolled substance Abuse Act

RESOLUTION 4

Pharmacy Service TaxBroward County Pharmacists Associa-tion

Whereas Pharmacy has assumed the burden of absorbing the costs associat-ed with receiving and sending data to all sources

Whereas these costs continue to grow and are not associated with the cost of the product or filling fee received then

Be it Resolved that the FPA work with the proper legislative process for the state to create a TAX for prescriptions to cover all communication costs inher-ent in Rx processing for e-prescribing communications to PBMrsquos and data re-porting costs for handling in-state re-porting of Controlled substances

Be it Further Resolved that the col-lected tax be used only for Pharmacy Claims Administrative Costs in han-dling the claims and bear no economic andor administrative burdens on the pharmacy

Resolution not Adopted

Contact Broward County Pharmacists AssociationDaniel P sweet RPhPast President Board Member954-232-8202

Intent With greater dependency on data network and associated costs to all pharmacies we have been placed in a pinch With the state controlling the process we gain on many fronts First no back-end costs on any Rx claim next the state can legally charge PBMrsquos un-der contract and will be responsible for collecting the tax and lastly the state can use their collective bargain-ing power to reduce the costs associat-ed with data transmission

Respectfully submitted

Broward County Pharmacists Associa-tion

O C T O B e r 2 0 0 9 | 21

RESOLUTION 5

RPh Not a Degree Designationleon County Pharmacy Association

WHEREAS pharmacists with a PharmD degree very proudly and rightfully use their degree designation of PharmD with their name and

WHEREAS pharmacists with a BsP degree generally use RPh with their name and

WHEREAS the designation of RPh for Registered Pharmacist is not a degree designation and was enacted into the original Florida Pharmacy Practice Act of 1889 The current practice act defines a pharmacist as a licensed Pharmacist lPh

THEREFORE the leon County Phar-macy Association moves that the FPA promote the use of the BPharm desig-nation for the BsP degree in place of the RPh designation which no longer is ref-erenced in the Florida Pharmacy Prac-tice Act

Motion to amendMotion to amend failsResolution Adopted

Contact persons Michael A Jackson- (850) 222- 2400Jim Powers- (850) 422- 0079

Background The resolution pretty well speaks for itself however it should be noted that in most national pharmacy publications pharmacists with a BsP degree are using the BPharm designa-tion behind their names In research-ing Dr Gene Gramlingrsquos book ldquoA His-tory of Pharmacy in Floridardquo it has the Florida Pharmacy Practice Act of 1889 which reads as follows section 4 Be it further enacted that the Board of Phar-macy shall register in a suitable book the names and places of residence of all persons to whom they issue certifi-cates and dates thereof It shall be the duty of said Board of Pharmacy to reg-ister without examination as registered pharmacists all pharmacists and drug-gists who are engaged in business in

the state of Florida at the passage of this act as owners or principals of stores or pharmacies In any village town or city of more than 200 inhabitants helliprdquo

RESOLUTION 6

Long Term Care regulatory frame-workFlorida Chapter of American society of Consultant Pharmacist

Whereas the Florida regulatory frame-work for long-term care pharmacy should be reviewed periodically to en-sure that it is consistent with current practice the FPA legislative commit-tee resolves to coordinate with the Flor-ida Chapter of the American society of Consultant Pharmacists to review the current regulatory framework for long-Term Care pharmacy in Florida

Resolved that the FPA legislative Committee coordinate with the Flori-da Chapter of the American society of Consultant Pharmacists to review the current regulatory framework for long-Term Care Pharmacy in Florida

Resolve substituted by the sponsor and accepted by the House substitute Resolution Adopted

Contact name and Phone stephen J Grabowski (727) 945-0760

Problem As the number of our nationrsquos seniors has grown so to have the de-mands and challenges placed upon the pharmacists serving those seniors who live in long-term care facilities since the practice of pharmacy has evolved over the years with increased workload demands changing roles of pharmacy technicians and new technologies so too have the regulatory guidelines and oversight responsibilities of the state boards

Intent not only will the practice of pharmacy need to adapt to the needs of seniors in long-term care facilities but state board of pharmacies and phar-macists under their preview must un-

derstand the impact of these changes Pharmacists practicing in long-term care must collaborate with state boards of pharmacy to update practice acts to ensure the protection of the health safety and welfare of the public

RESOLUTION 7

Evaluation of the ldquoPedigree Docu-mentation Programrdquo as stated in Flor-ida Statue 499Alachua County Association of Phar-macists

Whereas Florida statue 499 states that its purpose is to safeguard the public health and promote the public welfare by protecting the public from injury by product use and by merchandising de-ceit involving drugs devices and cos-metics

Whereas Pharmacies Pharmacists Pharmacy Wholesalers Pharmaceuti-cal Manufacturers and Pharmacy Re-packagers are all an integral part of this program

Whereas there is financial costs associ-ated with this program

Whereas there are penalties associated with this program

RESOLVED - The FPA request the Agency for Health Care Administra-tion to evaluate the ldquoPedigree Docu-mentation Programrdquo (49901212) to de-termine effectiveness and identification of improvements in the program for the protection of the public safety

Problem - The state of Florida enact-ed the ldquoPedigree Documentation Pro-gramrdquo (49901212) to keep adulterated and misbranded pharmaceuticals from consumers

Intent - To determine the effectiveness of the ldquoPedigree Documentation Pro-gramrdquo in achieving its purpose

Resolution Adopted

22 | f L O r i d a p h a r m a C y T O d a y

sion forward Please join us in Talla-hassee next March

FPA Legislative Key Contact Network

The FPA legislative Committee would like to match up at least one pharmacist with every key legisla-tor in the state If you currently have a relationship with one of your state legislators or if you are willing to take the steps listed above to be one of our grassroots advocates we want to know sign up to be a member of our Key legislative Contacts If you can help please let us know by con-tacting any member of the legisla-tive Committee listed below or you may contact me directly at klwizcomcastnet

lastly your legislative Commit-tee deserves a BIG ldquoThank Yourdquo for their time and effort These mem-bers have stepped up to help our profession grow and prosper Fol-lowing is a list of the members of the 2009-2010 FPA legislative Commit-teeDavid AndrewsDon BergemannGary DalinMitchell FingerhutAmy FerrolRamy GabrielMark HobbsMichael JacksonHumberto MartinezMark PercifieldManny PrieguezAlexander PytlarzTeysha RichardsonWilliam RiffeeTheresa Tollenorman TomakaAmanda Waltemathlori WeemsKaren WhalenRobert WilburChristine Yocum

Ken Wisniewski2009-2010 legislative Committee Chair

Viewpoint continued from page 5Respectfully submitted

Alachua County Association of Phar-macists

RESOLUTION 8

Continuous quality Improvement Program-Program EvaluationAlachua County Association of Phar-macists

Whereas the CQI Program is a system of standards and procedures to identify and evaluate quality-related events and improve patient care

Whereas some of the main goals of FPA and the Board of Pharmacy is to improve patient care and safety

Whereas an evaluation of the CQI Pro-gram may identify improvements that could be incorporated into the pro-gram

Whereas information about patient safety practices obtained from the pro-gram evaluation would be helpful if shared with the pharmacists of Florida and the nation

Resolved that the FPA request the Flor-ida Board of Pharmacy to conduct a Program evaluation of the Continuous Quality Improvement Program (64B16-27300)

Problem- since the enactment of 64B16-27300 Continuous Quality Improve-ment (CQI) Program there has not been a program evaluation

Intent- The evaluation of the CQI Pro-gram for effectiveness

Respectfully submittedAlachua County Association of Phar-macists

Resolution Adopted

JOIN TODAY

Florida Pharmacy Association

O C T O B e r 2 0 0 9 | 23

RESOLUTION 1Pharmacy Manager in Charge Man-date rule changes for the State require to be on-site 24 hr perweekBroward County Pharmacist Associa-tion Whereas There is no statutory or rule requirement for a Manager in Charge to be present in the PharmacyWhereas over the last few years in-ternet practices and non-pharmacist owned pharmacies have flourished in practice settings that were poorly su-pervisedBe it Resolved that the FPA propose that the Florida Pharmacy Board pro-mulgate rules which safeguard the public by having a Responsible par-ty (Pharmacy Manager of Record) on premises 24 hrs per given weekContact Broward County Pharmacist AssocDaniel P sweet RPhPast President Board Member954-232-8202Intent To protect the public from non-pharmacist owners to influence the practice of pharmacy by placing a phar-macist on record without reviewing the day to day operations of Pharmacy Practice and its Rules and statuesResolution Not AdoptedRespectfully SubmittedBroward County Pharmacist Associa-tion

RESOLUTION 2

Repeal 40 hr Rule for Community Pharmacy PermitBroward County Pharmacist Associa-tion Whereas the Practice of Pharmacy is evolving to an Information Profession where pharmacists will be reviewing medication therapyWhereas in populated areas there are multiple pharmacies in a compact radi-usBe it Resolved that the Florida Board of Pharmacy act in repealing the 40 hr rule for Community Pharmacy Permit withstanding that there is a pharmacy within 5 miles with extended hours or a 24 hr pharmacy within 2 milesContact

Daniel P sweet RPhPast President Board Member Broward County Pharmacist Assoc954-232-8202 Intent With Pharmacy Practice evolv-ing with more Pharmacists are going to use there education to create office type practice The Pharmacist will need to be off-site to review medications and council patients on the use of their medicationRespectfully SubmittedBroward County Pharmacist Associa-tion Motion to amendAmendment passedSpeaker unable to determine the posi-tion of the House on voice voteStanding vote called for by the House SpeakerResolution adopted on standing vote

RESOLUTION 3

Physician Dispensing ndash Limiting Scope as Pertains to Controlled Sub-stancesBroward County Pharmacists Associa-tionWhereas a significant problem regard-ing the misuse of controlled substances in our state has been identified andWhereas the checks and balances that the pharmacist brings to the equation of reducing the potential for misuse of controlled substances due to conflicts of interest is circumvented in the phy-sician dispensing model Be it Resolved that the FPA seek legis-lative changes to limit the in-office dis-pensing of controlled substances up to and not more than a three (3) day sup-ply Contact Broward County Pharmacists Associa-tionDaniel P sweet RPhPast President Board Member954-232-8202Motion to amend the phrase ldquowork with the respective BoardsrdquoAmendment is adoptedMotion to amend by adding the words ldquouprdquo and the words ldquoand not more thanrdquo to the first sentenceMotion to amend passes

Motion to amend by striking the last sentence of the resolveMotion to amend passesResolution AdoptedIntent With the advent of Pain Man-agement Clinics with Dispensaries Pa-tient safety and control is lost by not having a Pharmacist oversee the pa-tientsrsquo therapeutic management with-in the guidelines of the FDA and Con-trolled substance Abuse Act

RESOLUTION 4

Pharmacy Service TaxBroward County Pharmacists Associa-tionWhereas Pharmacy has assumed the burden of absorbing the costs associat-ed with receiving and sending data to all sourcesWhereas these costs continue to grow and are not associated with the cost of the product or filling fee received thenBe it Resolved that the FPA work with the proper legislative process for the state to create a TAX for prescriptions to cover all communication costs inher-ent in Rx processing for e-prescribing communications to PBMrsquos and data re-porting costs for handling in-state re-porting of Controlled substancesBe it Further Resolved that the col-lected tax be used only for Pharmacy Claims Administrative Costs in han-dling the claims and bear no economic andor administrative burdens on the pharmacyResolution Not AdoptedContact Broward County Pharmacists Associa-tionDaniel P sweet RPhPast President Board Member954-232-8202Intent With greater dependency on data network and associated costs to all pharmacies we have been placed in a pinch With the state controlling the process we gain on many fronts First no back-end costs on any Rx claim next the state can legally charge PBMrsquos un-der contract and will be responsible for collecting the tax and lastly the state can use their collective bargain-ing power to reduce the costs associat-

EmailFax Network HotlineReceive up-to-date and up-to-the-min-ute information on legislative Develop-ments Board of Pharmacy changes and other topics affecting the profession of pharmacy Call FPA Member services at (850) 222-2400 ext 110 ndash rsimmonspharmviewcom

Tax ResourceProvides defense and protection of your assets when you are audited Tax Resource will defend their clients for any income tax audit Federal or state for any tax year Tax Resource pio-neered the tax audit service business and is the largest audit defense firm in the United states Call (800) 92-AUDIT (800-922-8348)

Atlantic Coupon Redemption Center Receive payment in 25 working days of couponrsquos face value plus a rebate of 16 cents based on store volume Call Meredith McCord (800) 223-0398

Florida Commerce Federal Credit Union The chief objective of a credit union is not generating profits for stockholders but to provide service to its member The members benefit by getting attrac-tive returns on savings loans made at fair rates of interest plus enhanced and expanded services This is probably one of the best deals around Call (850) 488-0035

Collection Services For past due accounts call I C system Inc Call (800) 328-9595

Other Member Benefits n Discounted Continuing education

Programsn Monthly Issues of the Florida Phar-

macy Today Journal

ITC Deltacom offering FPA members exclusive associa-tion discounts on telecommunication ser-vices including local services long dis-tance data networks telephone systems and dedicated internet access Call 850-701-3200 or visit wwwitcdeltacomcom

Pharmacy Resource Materials FPA provides the most recent and rele-vant resources necessary to meet your professional needs This includes the Continuous Quality Improvement Manu-al Controlled substance Inventory Book-lets and Pharmacy signs Please call FPA Members services for more information 850-222-2400 ext 110

FPA Website Visit our FPA Website at wwpharmviewcom The site launched in December 2004 and revised in october 2008 includes a members only section The website of-fers a secure server so that you can reg-isters for Ce programs renew your mem-bership or purchase resources materials with your credit card

in keeping with a tradition of offering our members real benefits the Florida Pharmacy association (FPa) is proud to announce the introduction of sponsored discount Benefits Program these vendors are dedicated to providing an excellent value to all FPa members and associates to take advantage of benefits contact the vendors directly at the numbers listed below and identify yourself as a FPa member and have your membership id number handy

MEMBERSHIP MATTERS

Florida Pharmacy Association

24 | f L O r i d a p h a r m a C y T O d a y

Wyeth Bowl of Hygeia

Awarded to a pharmacist for out-standing community service above and beyond professional duties The use of the following selection criteria is re-quired

The recipient must be a Florida li- n

censed pharmacist and a member of FPAThe recipient must be living Awards n

are not presented posthumouslyThe recipient has not previously re- n

ceived the awardThe recipient is not currently serving n

nor has heshe served within the immediate past 2 years on its award committee or an officer of the asso-ciation in other than an ex officio ca-pacityThe recipient has compiled an out- n

standing record of community ser-vice which apart from hisher spe-cific identification as a pharmacist reflects well on the profession

James H Beal Award

Awarded to the Pharmacist of the Year The criteria established for this award is that the recipient be a Flori-da registered pharmacist and a mem-ber of FPA who has rendered outstand-ing service to pharmacy within the past five yearsCriteria

The recipient must be a Florida reg- n

istered pharmacist and a member of the FPAThe recipient has rendered outstand- n

ing service to pharmacy within the past five years

Technician of the Year AwardAwarded annually to a Florida

pharmacy technician who is recog-nized for hisher outstanding perfor-mance and achievement during hisher career

Criteria

Candidate must be a member of n

the Florida Pharmacy Association for at least 2 yearsCandidate must have demonstrat- n

ed contributions and dedication to the advancement of pharmacy technician practiceCandidate must have demonstrat- n

ed contributions to the Florida Pharmacy Association andor oth-er pharmacy organizationsCandidate must have demonstrat- n

ed commitment to community ser-viceCandidate is not a past recipient of n

this award

RQ Richards Award

This award is based on outstanding achievement in the field of pharmaceu-tical public relations in FloridaCriteria

The recipient must be a Florida reg- n

istered pharmacist and a member of the FPAThe recipient has displayed out- n

standing achievement in the field of pharmaceutical public relations in Florida

Frank TobackAZO Consultant

Pharmacist Award

CriteriaCandidate must be an FPA member n

registered with the Florida Board of Pharmacy as a consultant pharma-cist in good standingCandidate should be selected based n

on their outstanding achievements in the field of consultant pharmacy

DCPA Sidney Simkowitz

Pharmacy Involvement Award

Presented annually to a Florida pharmacist who has been active at the local and state pharmacy association level in advancement of the profes-sion of pharmacy in Florida

CriteriaA minimum of five years of active n

involvement in and contributions to the local association and FPACandidate must have held office at n

local level pharmacy associationMember in good standing for a pe- n

riod of at least five years in the FPA and must have served as a member or chairman of a committee of the associationCandidate must have been active- n

ly involved in a project that has or could potentially be of benefit to members of the profession

Pharmacists Mutual Companies

Distinguished Young Pharmacist

Award

Awarded to a young pharmacist for their involvement and dedication to the practice of pharmacyCriteria

licensed to practice for nine (9) years n

or lesslicensed to practice in the state in n

which selectedParticipation in national pharmacy n

association professional programs andor community service

IPA Roman Maximo Corrons

Inspiration amp Motivation Award

Interamerican Pharmacists Association created this award to honor the memo-ry of Roman M Corrons who inspired and motivated countless pharmacists to participate actively and aspire to take on leadership roles in their profession Roman was always there with guidance and support that motivated pharma-cists and encouraged visionary leader-ship approachable active membership and succession planning This award recognizes the motivators among us who inspire others to continue to ad-vance the professionCriteria

C a L L f O r N O m i N a T i O N s F P A A W A R D S 2 0 0 9 - 2 0 1 0

O C T O B e r 2 0 0 9 | 25

DEADLINE FOR NOMINATIONS FEBRUARY 28 2010

The recipient must be a Florida li- n

censed Pharmacist and a member of the FPACandidate should motivate others n

to excel within the profession by en-couraging them to be leadersCandidate is not necessarily an as- n

sociation officer but guides sup-ports andor inspires others

A brief description on the candidatersquos motivationalinspirational skills must accompany the nomination

The Jean Lamberti

Mentorship Award

The Jean lamberti Mentorship Award was established in 1998 to hon-or those pharmacists who have taken time to share their knowledge and ex-

perience with pharmacist candidates The award is named in honor of long time FPA member Jean lamberti for her effort in working with pharmacy studentsCriteria

The recipient must be an FPA mem- n

berThe recipient must serve as a role n

model for the profession of pharmacy

Innovative Pharmacy Practice

Award

Awarded to honor practicing phar-macists who have demonstrated inno-vation in pharmacy practice that has resulted in improved patient careCriteria

The recipient has demonstrated inno- n

vative pharmacy practice resulting in improved patient careThe recipient should be a practic- n

ing pharmacist within the geograph-ic area represented by the presenting Association

Qualified nominee A pharmacist prac-ticing within the geographic area repre-sented by the presenting Association

I AM PLEASED TO SUBMIT THE FOLLOWING NOMINATION

Name

Address

FOR THE FOLLOWING AWARD

(Nomination Deadline February 28 2009)

Wyeth Bowl of Hygeia Award

James H Beal Award

RQ Richards Award

Frank TobackAZO Consultant Pharmacist Award

DCPA Sydney Simkowitz Award

Pharmacists Mutual Co Distinguished Young Pharmacist Award

Academy of Pharmacy Practice Practitioner Merit Award

The Jean Lamberti Mentorship Award

IPA Roman Maximo Corrons Inspiration amp Motivation Award

Innovative Pharmacy Practice Award

Technician of the Year Award

NOMINATED BY

Name

Date Submitted

Signature

Please describe briefly below the nominees accomplishments indicating why you feel he or she should receive this award (Attach additional sheets if necessary)

C a L L f O r N O m i N a T i O N s F P A A W A R D S 2 0 0 9 - 2 0 1 0

F P A A W A R D S N O M I N A T I O N F O R M

mail nominatons to annual awards Florida Pharmacy association 610 n adams st tallahassee Fl 32301(850) 222-2400 FaX (850) 561-6758 dEadlinE For nominations is FEBrUary 28 2010

26 | f L O r i d a p h a r m a C y T O d a y

CALL FOR RESOLUTIONS TO THE 2010 HOUSE OF DELEGATES

The House of Delegates Board of Directors will meet in March 2010 to review and approve resolu-tions for the Annual Meeting The deadline for submitting resolutions is March 15 2010 PleAse noTe THIs DeADlIne

The following information will be needed when submitting resolutions

1 name of organization The name of the organization submitting the resolutions(s)2 name and telephone number of individuals A contact in the event clarification or further in-

formation is needed 3 Problem A statement of the problem addressed by the resolution4 Intent A statement of what passage of the resolution will accomplish5 Resolution Format (please type and use double spacing)

TiTle of ResoluTion

name of oRganizaTion

WheReas and

WheReas

TheRefoRe be iT

Resolved (ThaT The fPa oR subdivision of fPa)

ConTaCT name and Phone

PRoblem

inTenT

Page 21: October 2009 Florida Pharmacy Journal

O C T O B e r 2 0 0 9 | 21

RESOLUTION 5

RPh Not a Degree Designationleon County Pharmacy Association

WHEREAS pharmacists with a PharmD degree very proudly and rightfully use their degree designation of PharmD with their name and

WHEREAS pharmacists with a BsP degree generally use RPh with their name and

WHEREAS the designation of RPh for Registered Pharmacist is not a degree designation and was enacted into the original Florida Pharmacy Practice Act of 1889 The current practice act defines a pharmacist as a licensed Pharmacist lPh

THEREFORE the leon County Phar-macy Association moves that the FPA promote the use of the BPharm desig-nation for the BsP degree in place of the RPh designation which no longer is ref-erenced in the Florida Pharmacy Prac-tice Act

Motion to amendMotion to amend failsResolution Adopted

Contact persons Michael A Jackson- (850) 222- 2400Jim Powers- (850) 422- 0079

Background The resolution pretty well speaks for itself however it should be noted that in most national pharmacy publications pharmacists with a BsP degree are using the BPharm designa-tion behind their names In research-ing Dr Gene Gramlingrsquos book ldquoA His-tory of Pharmacy in Floridardquo it has the Florida Pharmacy Practice Act of 1889 which reads as follows section 4 Be it further enacted that the Board of Phar-macy shall register in a suitable book the names and places of residence of all persons to whom they issue certifi-cates and dates thereof It shall be the duty of said Board of Pharmacy to reg-ister without examination as registered pharmacists all pharmacists and drug-gists who are engaged in business in

the state of Florida at the passage of this act as owners or principals of stores or pharmacies In any village town or city of more than 200 inhabitants helliprdquo

RESOLUTION 6

Long Term Care regulatory frame-workFlorida Chapter of American society of Consultant Pharmacist

Whereas the Florida regulatory frame-work for long-term care pharmacy should be reviewed periodically to en-sure that it is consistent with current practice the FPA legislative commit-tee resolves to coordinate with the Flor-ida Chapter of the American society of Consultant Pharmacists to review the current regulatory framework for long-Term Care pharmacy in Florida

Resolved that the FPA legislative Committee coordinate with the Flori-da Chapter of the American society of Consultant Pharmacists to review the current regulatory framework for long-Term Care Pharmacy in Florida

Resolve substituted by the sponsor and accepted by the House substitute Resolution Adopted

Contact name and Phone stephen J Grabowski (727) 945-0760

Problem As the number of our nationrsquos seniors has grown so to have the de-mands and challenges placed upon the pharmacists serving those seniors who live in long-term care facilities since the practice of pharmacy has evolved over the years with increased workload demands changing roles of pharmacy technicians and new technologies so too have the regulatory guidelines and oversight responsibilities of the state boards

Intent not only will the practice of pharmacy need to adapt to the needs of seniors in long-term care facilities but state board of pharmacies and phar-macists under their preview must un-

derstand the impact of these changes Pharmacists practicing in long-term care must collaborate with state boards of pharmacy to update practice acts to ensure the protection of the health safety and welfare of the public

RESOLUTION 7

Evaluation of the ldquoPedigree Docu-mentation Programrdquo as stated in Flor-ida Statue 499Alachua County Association of Phar-macists

Whereas Florida statue 499 states that its purpose is to safeguard the public health and promote the public welfare by protecting the public from injury by product use and by merchandising de-ceit involving drugs devices and cos-metics

Whereas Pharmacies Pharmacists Pharmacy Wholesalers Pharmaceuti-cal Manufacturers and Pharmacy Re-packagers are all an integral part of this program

Whereas there is financial costs associ-ated with this program

Whereas there are penalties associated with this program

RESOLVED - The FPA request the Agency for Health Care Administra-tion to evaluate the ldquoPedigree Docu-mentation Programrdquo (49901212) to de-termine effectiveness and identification of improvements in the program for the protection of the public safety

Problem - The state of Florida enact-ed the ldquoPedigree Documentation Pro-gramrdquo (49901212) to keep adulterated and misbranded pharmaceuticals from consumers

Intent - To determine the effectiveness of the ldquoPedigree Documentation Pro-gramrdquo in achieving its purpose

Resolution Adopted

22 | f L O r i d a p h a r m a C y T O d a y

sion forward Please join us in Talla-hassee next March

FPA Legislative Key Contact Network

The FPA legislative Committee would like to match up at least one pharmacist with every key legisla-tor in the state If you currently have a relationship with one of your state legislators or if you are willing to take the steps listed above to be one of our grassroots advocates we want to know sign up to be a member of our Key legislative Contacts If you can help please let us know by con-tacting any member of the legisla-tive Committee listed below or you may contact me directly at klwizcomcastnet

lastly your legislative Commit-tee deserves a BIG ldquoThank Yourdquo for their time and effort These mem-bers have stepped up to help our profession grow and prosper Fol-lowing is a list of the members of the 2009-2010 FPA legislative Commit-teeDavid AndrewsDon BergemannGary DalinMitchell FingerhutAmy FerrolRamy GabrielMark HobbsMichael JacksonHumberto MartinezMark PercifieldManny PrieguezAlexander PytlarzTeysha RichardsonWilliam RiffeeTheresa Tollenorman TomakaAmanda Waltemathlori WeemsKaren WhalenRobert WilburChristine Yocum

Ken Wisniewski2009-2010 legislative Committee Chair

Viewpoint continued from page 5Respectfully submitted

Alachua County Association of Phar-macists

RESOLUTION 8

Continuous quality Improvement Program-Program EvaluationAlachua County Association of Phar-macists

Whereas the CQI Program is a system of standards and procedures to identify and evaluate quality-related events and improve patient care

Whereas some of the main goals of FPA and the Board of Pharmacy is to improve patient care and safety

Whereas an evaluation of the CQI Pro-gram may identify improvements that could be incorporated into the pro-gram

Whereas information about patient safety practices obtained from the pro-gram evaluation would be helpful if shared with the pharmacists of Florida and the nation

Resolved that the FPA request the Flor-ida Board of Pharmacy to conduct a Program evaluation of the Continuous Quality Improvement Program (64B16-27300)

Problem- since the enactment of 64B16-27300 Continuous Quality Improve-ment (CQI) Program there has not been a program evaluation

Intent- The evaluation of the CQI Pro-gram for effectiveness

Respectfully submittedAlachua County Association of Phar-macists

Resolution Adopted

JOIN TODAY

Florida Pharmacy Association

O C T O B e r 2 0 0 9 | 23

RESOLUTION 1Pharmacy Manager in Charge Man-date rule changes for the State require to be on-site 24 hr perweekBroward County Pharmacist Associa-tion Whereas There is no statutory or rule requirement for a Manager in Charge to be present in the PharmacyWhereas over the last few years in-ternet practices and non-pharmacist owned pharmacies have flourished in practice settings that were poorly su-pervisedBe it Resolved that the FPA propose that the Florida Pharmacy Board pro-mulgate rules which safeguard the public by having a Responsible par-ty (Pharmacy Manager of Record) on premises 24 hrs per given weekContact Broward County Pharmacist AssocDaniel P sweet RPhPast President Board Member954-232-8202Intent To protect the public from non-pharmacist owners to influence the practice of pharmacy by placing a phar-macist on record without reviewing the day to day operations of Pharmacy Practice and its Rules and statuesResolution Not AdoptedRespectfully SubmittedBroward County Pharmacist Associa-tion

RESOLUTION 2

Repeal 40 hr Rule for Community Pharmacy PermitBroward County Pharmacist Associa-tion Whereas the Practice of Pharmacy is evolving to an Information Profession where pharmacists will be reviewing medication therapyWhereas in populated areas there are multiple pharmacies in a compact radi-usBe it Resolved that the Florida Board of Pharmacy act in repealing the 40 hr rule for Community Pharmacy Permit withstanding that there is a pharmacy within 5 miles with extended hours or a 24 hr pharmacy within 2 milesContact

Daniel P sweet RPhPast President Board Member Broward County Pharmacist Assoc954-232-8202 Intent With Pharmacy Practice evolv-ing with more Pharmacists are going to use there education to create office type practice The Pharmacist will need to be off-site to review medications and council patients on the use of their medicationRespectfully SubmittedBroward County Pharmacist Associa-tion Motion to amendAmendment passedSpeaker unable to determine the posi-tion of the House on voice voteStanding vote called for by the House SpeakerResolution adopted on standing vote

RESOLUTION 3

Physician Dispensing ndash Limiting Scope as Pertains to Controlled Sub-stancesBroward County Pharmacists Associa-tionWhereas a significant problem regard-ing the misuse of controlled substances in our state has been identified andWhereas the checks and balances that the pharmacist brings to the equation of reducing the potential for misuse of controlled substances due to conflicts of interest is circumvented in the phy-sician dispensing model Be it Resolved that the FPA seek legis-lative changes to limit the in-office dis-pensing of controlled substances up to and not more than a three (3) day sup-ply Contact Broward County Pharmacists Associa-tionDaniel P sweet RPhPast President Board Member954-232-8202Motion to amend the phrase ldquowork with the respective BoardsrdquoAmendment is adoptedMotion to amend by adding the words ldquouprdquo and the words ldquoand not more thanrdquo to the first sentenceMotion to amend passes

Motion to amend by striking the last sentence of the resolveMotion to amend passesResolution AdoptedIntent With the advent of Pain Man-agement Clinics with Dispensaries Pa-tient safety and control is lost by not having a Pharmacist oversee the pa-tientsrsquo therapeutic management with-in the guidelines of the FDA and Con-trolled substance Abuse Act

RESOLUTION 4

Pharmacy Service TaxBroward County Pharmacists Associa-tionWhereas Pharmacy has assumed the burden of absorbing the costs associat-ed with receiving and sending data to all sourcesWhereas these costs continue to grow and are not associated with the cost of the product or filling fee received thenBe it Resolved that the FPA work with the proper legislative process for the state to create a TAX for prescriptions to cover all communication costs inher-ent in Rx processing for e-prescribing communications to PBMrsquos and data re-porting costs for handling in-state re-porting of Controlled substancesBe it Further Resolved that the col-lected tax be used only for Pharmacy Claims Administrative Costs in han-dling the claims and bear no economic andor administrative burdens on the pharmacyResolution Not AdoptedContact Broward County Pharmacists Associa-tionDaniel P sweet RPhPast President Board Member954-232-8202Intent With greater dependency on data network and associated costs to all pharmacies we have been placed in a pinch With the state controlling the process we gain on many fronts First no back-end costs on any Rx claim next the state can legally charge PBMrsquos un-der contract and will be responsible for collecting the tax and lastly the state can use their collective bargain-ing power to reduce the costs associat-

EmailFax Network HotlineReceive up-to-date and up-to-the-min-ute information on legislative Develop-ments Board of Pharmacy changes and other topics affecting the profession of pharmacy Call FPA Member services at (850) 222-2400 ext 110 ndash rsimmonspharmviewcom

Tax ResourceProvides defense and protection of your assets when you are audited Tax Resource will defend their clients for any income tax audit Federal or state for any tax year Tax Resource pio-neered the tax audit service business and is the largest audit defense firm in the United states Call (800) 92-AUDIT (800-922-8348)

Atlantic Coupon Redemption Center Receive payment in 25 working days of couponrsquos face value plus a rebate of 16 cents based on store volume Call Meredith McCord (800) 223-0398

Florida Commerce Federal Credit Union The chief objective of a credit union is not generating profits for stockholders but to provide service to its member The members benefit by getting attrac-tive returns on savings loans made at fair rates of interest plus enhanced and expanded services This is probably one of the best deals around Call (850) 488-0035

Collection Services For past due accounts call I C system Inc Call (800) 328-9595

Other Member Benefits n Discounted Continuing education

Programsn Monthly Issues of the Florida Phar-

macy Today Journal

ITC Deltacom offering FPA members exclusive associa-tion discounts on telecommunication ser-vices including local services long dis-tance data networks telephone systems and dedicated internet access Call 850-701-3200 or visit wwwitcdeltacomcom

Pharmacy Resource Materials FPA provides the most recent and rele-vant resources necessary to meet your professional needs This includes the Continuous Quality Improvement Manu-al Controlled substance Inventory Book-lets and Pharmacy signs Please call FPA Members services for more information 850-222-2400 ext 110

FPA Website Visit our FPA Website at wwpharmviewcom The site launched in December 2004 and revised in october 2008 includes a members only section The website of-fers a secure server so that you can reg-isters for Ce programs renew your mem-bership or purchase resources materials with your credit card

in keeping with a tradition of offering our members real benefits the Florida Pharmacy association (FPa) is proud to announce the introduction of sponsored discount Benefits Program these vendors are dedicated to providing an excellent value to all FPa members and associates to take advantage of benefits contact the vendors directly at the numbers listed below and identify yourself as a FPa member and have your membership id number handy

MEMBERSHIP MATTERS

Florida Pharmacy Association

24 | f L O r i d a p h a r m a C y T O d a y

Wyeth Bowl of Hygeia

Awarded to a pharmacist for out-standing community service above and beyond professional duties The use of the following selection criteria is re-quired

The recipient must be a Florida li- n

censed pharmacist and a member of FPAThe recipient must be living Awards n

are not presented posthumouslyThe recipient has not previously re- n

ceived the awardThe recipient is not currently serving n

nor has heshe served within the immediate past 2 years on its award committee or an officer of the asso-ciation in other than an ex officio ca-pacityThe recipient has compiled an out- n

standing record of community ser-vice which apart from hisher spe-cific identification as a pharmacist reflects well on the profession

James H Beal Award

Awarded to the Pharmacist of the Year The criteria established for this award is that the recipient be a Flori-da registered pharmacist and a mem-ber of FPA who has rendered outstand-ing service to pharmacy within the past five yearsCriteria

The recipient must be a Florida reg- n

istered pharmacist and a member of the FPAThe recipient has rendered outstand- n

ing service to pharmacy within the past five years

Technician of the Year AwardAwarded annually to a Florida

pharmacy technician who is recog-nized for hisher outstanding perfor-mance and achievement during hisher career

Criteria

Candidate must be a member of n

the Florida Pharmacy Association for at least 2 yearsCandidate must have demonstrat- n

ed contributions and dedication to the advancement of pharmacy technician practiceCandidate must have demonstrat- n

ed contributions to the Florida Pharmacy Association andor oth-er pharmacy organizationsCandidate must have demonstrat- n

ed commitment to community ser-viceCandidate is not a past recipient of n

this award

RQ Richards Award

This award is based on outstanding achievement in the field of pharmaceu-tical public relations in FloridaCriteria

The recipient must be a Florida reg- n

istered pharmacist and a member of the FPAThe recipient has displayed out- n

standing achievement in the field of pharmaceutical public relations in Florida

Frank TobackAZO Consultant

Pharmacist Award

CriteriaCandidate must be an FPA member n

registered with the Florida Board of Pharmacy as a consultant pharma-cist in good standingCandidate should be selected based n

on their outstanding achievements in the field of consultant pharmacy

DCPA Sidney Simkowitz

Pharmacy Involvement Award

Presented annually to a Florida pharmacist who has been active at the local and state pharmacy association level in advancement of the profes-sion of pharmacy in Florida

CriteriaA minimum of five years of active n

involvement in and contributions to the local association and FPACandidate must have held office at n

local level pharmacy associationMember in good standing for a pe- n

riod of at least five years in the FPA and must have served as a member or chairman of a committee of the associationCandidate must have been active- n

ly involved in a project that has or could potentially be of benefit to members of the profession

Pharmacists Mutual Companies

Distinguished Young Pharmacist

Award

Awarded to a young pharmacist for their involvement and dedication to the practice of pharmacyCriteria

licensed to practice for nine (9) years n

or lesslicensed to practice in the state in n

which selectedParticipation in national pharmacy n

association professional programs andor community service

IPA Roman Maximo Corrons

Inspiration amp Motivation Award

Interamerican Pharmacists Association created this award to honor the memo-ry of Roman M Corrons who inspired and motivated countless pharmacists to participate actively and aspire to take on leadership roles in their profession Roman was always there with guidance and support that motivated pharma-cists and encouraged visionary leader-ship approachable active membership and succession planning This award recognizes the motivators among us who inspire others to continue to ad-vance the professionCriteria

C a L L f O r N O m i N a T i O N s F P A A W A R D S 2 0 0 9 - 2 0 1 0

O C T O B e r 2 0 0 9 | 25

DEADLINE FOR NOMINATIONS FEBRUARY 28 2010

The recipient must be a Florida li- n

censed Pharmacist and a member of the FPACandidate should motivate others n

to excel within the profession by en-couraging them to be leadersCandidate is not necessarily an as- n

sociation officer but guides sup-ports andor inspires others

A brief description on the candidatersquos motivationalinspirational skills must accompany the nomination

The Jean Lamberti

Mentorship Award

The Jean lamberti Mentorship Award was established in 1998 to hon-or those pharmacists who have taken time to share their knowledge and ex-

perience with pharmacist candidates The award is named in honor of long time FPA member Jean lamberti for her effort in working with pharmacy studentsCriteria

The recipient must be an FPA mem- n

berThe recipient must serve as a role n

model for the profession of pharmacy

Innovative Pharmacy Practice

Award

Awarded to honor practicing phar-macists who have demonstrated inno-vation in pharmacy practice that has resulted in improved patient careCriteria

The recipient has demonstrated inno- n

vative pharmacy practice resulting in improved patient careThe recipient should be a practic- n

ing pharmacist within the geograph-ic area represented by the presenting Association

Qualified nominee A pharmacist prac-ticing within the geographic area repre-sented by the presenting Association

I AM PLEASED TO SUBMIT THE FOLLOWING NOMINATION

Name

Address

FOR THE FOLLOWING AWARD

(Nomination Deadline February 28 2009)

Wyeth Bowl of Hygeia Award

James H Beal Award

RQ Richards Award

Frank TobackAZO Consultant Pharmacist Award

DCPA Sydney Simkowitz Award

Pharmacists Mutual Co Distinguished Young Pharmacist Award

Academy of Pharmacy Practice Practitioner Merit Award

The Jean Lamberti Mentorship Award

IPA Roman Maximo Corrons Inspiration amp Motivation Award

Innovative Pharmacy Practice Award

Technician of the Year Award

NOMINATED BY

Name

Date Submitted

Signature

Please describe briefly below the nominees accomplishments indicating why you feel he or she should receive this award (Attach additional sheets if necessary)

C a L L f O r N O m i N a T i O N s F P A A W A R D S 2 0 0 9 - 2 0 1 0

F P A A W A R D S N O M I N A T I O N F O R M

mail nominatons to annual awards Florida Pharmacy association 610 n adams st tallahassee Fl 32301(850) 222-2400 FaX (850) 561-6758 dEadlinE For nominations is FEBrUary 28 2010

26 | f L O r i d a p h a r m a C y T O d a y

CALL FOR RESOLUTIONS TO THE 2010 HOUSE OF DELEGATES

The House of Delegates Board of Directors will meet in March 2010 to review and approve resolu-tions for the Annual Meeting The deadline for submitting resolutions is March 15 2010 PleAse noTe THIs DeADlIne

The following information will be needed when submitting resolutions

1 name of organization The name of the organization submitting the resolutions(s)2 name and telephone number of individuals A contact in the event clarification or further in-

formation is needed 3 Problem A statement of the problem addressed by the resolution4 Intent A statement of what passage of the resolution will accomplish5 Resolution Format (please type and use double spacing)

TiTle of ResoluTion

name of oRganizaTion

WheReas and

WheReas

TheRefoRe be iT

Resolved (ThaT The fPa oR subdivision of fPa)

ConTaCT name and Phone

PRoblem

inTenT

Page 22: October 2009 Florida Pharmacy Journal

22 | f L O r i d a p h a r m a C y T O d a y

sion forward Please join us in Talla-hassee next March

FPA Legislative Key Contact Network

The FPA legislative Committee would like to match up at least one pharmacist with every key legisla-tor in the state If you currently have a relationship with one of your state legislators or if you are willing to take the steps listed above to be one of our grassroots advocates we want to know sign up to be a member of our Key legislative Contacts If you can help please let us know by con-tacting any member of the legisla-tive Committee listed below or you may contact me directly at klwizcomcastnet

lastly your legislative Commit-tee deserves a BIG ldquoThank Yourdquo for their time and effort These mem-bers have stepped up to help our profession grow and prosper Fol-lowing is a list of the members of the 2009-2010 FPA legislative Commit-teeDavid AndrewsDon BergemannGary DalinMitchell FingerhutAmy FerrolRamy GabrielMark HobbsMichael JacksonHumberto MartinezMark PercifieldManny PrieguezAlexander PytlarzTeysha RichardsonWilliam RiffeeTheresa Tollenorman TomakaAmanda Waltemathlori WeemsKaren WhalenRobert WilburChristine Yocum

Ken Wisniewski2009-2010 legislative Committee Chair

Viewpoint continued from page 5Respectfully submitted

Alachua County Association of Phar-macists

RESOLUTION 8

Continuous quality Improvement Program-Program EvaluationAlachua County Association of Phar-macists

Whereas the CQI Program is a system of standards and procedures to identify and evaluate quality-related events and improve patient care

Whereas some of the main goals of FPA and the Board of Pharmacy is to improve patient care and safety

Whereas an evaluation of the CQI Pro-gram may identify improvements that could be incorporated into the pro-gram

Whereas information about patient safety practices obtained from the pro-gram evaluation would be helpful if shared with the pharmacists of Florida and the nation

Resolved that the FPA request the Flor-ida Board of Pharmacy to conduct a Program evaluation of the Continuous Quality Improvement Program (64B16-27300)

Problem- since the enactment of 64B16-27300 Continuous Quality Improve-ment (CQI) Program there has not been a program evaluation

Intent- The evaluation of the CQI Pro-gram for effectiveness

Respectfully submittedAlachua County Association of Phar-macists

Resolution Adopted

JOIN TODAY

Florida Pharmacy Association

O C T O B e r 2 0 0 9 | 23

RESOLUTION 1Pharmacy Manager in Charge Man-date rule changes for the State require to be on-site 24 hr perweekBroward County Pharmacist Associa-tion Whereas There is no statutory or rule requirement for a Manager in Charge to be present in the PharmacyWhereas over the last few years in-ternet practices and non-pharmacist owned pharmacies have flourished in practice settings that were poorly su-pervisedBe it Resolved that the FPA propose that the Florida Pharmacy Board pro-mulgate rules which safeguard the public by having a Responsible par-ty (Pharmacy Manager of Record) on premises 24 hrs per given weekContact Broward County Pharmacist AssocDaniel P sweet RPhPast President Board Member954-232-8202Intent To protect the public from non-pharmacist owners to influence the practice of pharmacy by placing a phar-macist on record without reviewing the day to day operations of Pharmacy Practice and its Rules and statuesResolution Not AdoptedRespectfully SubmittedBroward County Pharmacist Associa-tion

RESOLUTION 2

Repeal 40 hr Rule for Community Pharmacy PermitBroward County Pharmacist Associa-tion Whereas the Practice of Pharmacy is evolving to an Information Profession where pharmacists will be reviewing medication therapyWhereas in populated areas there are multiple pharmacies in a compact radi-usBe it Resolved that the Florida Board of Pharmacy act in repealing the 40 hr rule for Community Pharmacy Permit withstanding that there is a pharmacy within 5 miles with extended hours or a 24 hr pharmacy within 2 milesContact

Daniel P sweet RPhPast President Board Member Broward County Pharmacist Assoc954-232-8202 Intent With Pharmacy Practice evolv-ing with more Pharmacists are going to use there education to create office type practice The Pharmacist will need to be off-site to review medications and council patients on the use of their medicationRespectfully SubmittedBroward County Pharmacist Associa-tion Motion to amendAmendment passedSpeaker unable to determine the posi-tion of the House on voice voteStanding vote called for by the House SpeakerResolution adopted on standing vote

RESOLUTION 3

Physician Dispensing ndash Limiting Scope as Pertains to Controlled Sub-stancesBroward County Pharmacists Associa-tionWhereas a significant problem regard-ing the misuse of controlled substances in our state has been identified andWhereas the checks and balances that the pharmacist brings to the equation of reducing the potential for misuse of controlled substances due to conflicts of interest is circumvented in the phy-sician dispensing model Be it Resolved that the FPA seek legis-lative changes to limit the in-office dis-pensing of controlled substances up to and not more than a three (3) day sup-ply Contact Broward County Pharmacists Associa-tionDaniel P sweet RPhPast President Board Member954-232-8202Motion to amend the phrase ldquowork with the respective BoardsrdquoAmendment is adoptedMotion to amend by adding the words ldquouprdquo and the words ldquoand not more thanrdquo to the first sentenceMotion to amend passes

Motion to amend by striking the last sentence of the resolveMotion to amend passesResolution AdoptedIntent With the advent of Pain Man-agement Clinics with Dispensaries Pa-tient safety and control is lost by not having a Pharmacist oversee the pa-tientsrsquo therapeutic management with-in the guidelines of the FDA and Con-trolled substance Abuse Act

RESOLUTION 4

Pharmacy Service TaxBroward County Pharmacists Associa-tionWhereas Pharmacy has assumed the burden of absorbing the costs associat-ed with receiving and sending data to all sourcesWhereas these costs continue to grow and are not associated with the cost of the product or filling fee received thenBe it Resolved that the FPA work with the proper legislative process for the state to create a TAX for prescriptions to cover all communication costs inher-ent in Rx processing for e-prescribing communications to PBMrsquos and data re-porting costs for handling in-state re-porting of Controlled substancesBe it Further Resolved that the col-lected tax be used only for Pharmacy Claims Administrative Costs in han-dling the claims and bear no economic andor administrative burdens on the pharmacyResolution Not AdoptedContact Broward County Pharmacists Associa-tionDaniel P sweet RPhPast President Board Member954-232-8202Intent With greater dependency on data network and associated costs to all pharmacies we have been placed in a pinch With the state controlling the process we gain on many fronts First no back-end costs on any Rx claim next the state can legally charge PBMrsquos un-der contract and will be responsible for collecting the tax and lastly the state can use their collective bargain-ing power to reduce the costs associat-

EmailFax Network HotlineReceive up-to-date and up-to-the-min-ute information on legislative Develop-ments Board of Pharmacy changes and other topics affecting the profession of pharmacy Call FPA Member services at (850) 222-2400 ext 110 ndash rsimmonspharmviewcom

Tax ResourceProvides defense and protection of your assets when you are audited Tax Resource will defend their clients for any income tax audit Federal or state for any tax year Tax Resource pio-neered the tax audit service business and is the largest audit defense firm in the United states Call (800) 92-AUDIT (800-922-8348)

Atlantic Coupon Redemption Center Receive payment in 25 working days of couponrsquos face value plus a rebate of 16 cents based on store volume Call Meredith McCord (800) 223-0398

Florida Commerce Federal Credit Union The chief objective of a credit union is not generating profits for stockholders but to provide service to its member The members benefit by getting attrac-tive returns on savings loans made at fair rates of interest plus enhanced and expanded services This is probably one of the best deals around Call (850) 488-0035

Collection Services For past due accounts call I C system Inc Call (800) 328-9595

Other Member Benefits n Discounted Continuing education

Programsn Monthly Issues of the Florida Phar-

macy Today Journal

ITC Deltacom offering FPA members exclusive associa-tion discounts on telecommunication ser-vices including local services long dis-tance data networks telephone systems and dedicated internet access Call 850-701-3200 or visit wwwitcdeltacomcom

Pharmacy Resource Materials FPA provides the most recent and rele-vant resources necessary to meet your professional needs This includes the Continuous Quality Improvement Manu-al Controlled substance Inventory Book-lets and Pharmacy signs Please call FPA Members services for more information 850-222-2400 ext 110

FPA Website Visit our FPA Website at wwpharmviewcom The site launched in December 2004 and revised in october 2008 includes a members only section The website of-fers a secure server so that you can reg-isters for Ce programs renew your mem-bership or purchase resources materials with your credit card

in keeping with a tradition of offering our members real benefits the Florida Pharmacy association (FPa) is proud to announce the introduction of sponsored discount Benefits Program these vendors are dedicated to providing an excellent value to all FPa members and associates to take advantage of benefits contact the vendors directly at the numbers listed below and identify yourself as a FPa member and have your membership id number handy

MEMBERSHIP MATTERS

Florida Pharmacy Association

24 | f L O r i d a p h a r m a C y T O d a y

Wyeth Bowl of Hygeia

Awarded to a pharmacist for out-standing community service above and beyond professional duties The use of the following selection criteria is re-quired

The recipient must be a Florida li- n

censed pharmacist and a member of FPAThe recipient must be living Awards n

are not presented posthumouslyThe recipient has not previously re- n

ceived the awardThe recipient is not currently serving n

nor has heshe served within the immediate past 2 years on its award committee or an officer of the asso-ciation in other than an ex officio ca-pacityThe recipient has compiled an out- n

standing record of community ser-vice which apart from hisher spe-cific identification as a pharmacist reflects well on the profession

James H Beal Award

Awarded to the Pharmacist of the Year The criteria established for this award is that the recipient be a Flori-da registered pharmacist and a mem-ber of FPA who has rendered outstand-ing service to pharmacy within the past five yearsCriteria

The recipient must be a Florida reg- n

istered pharmacist and a member of the FPAThe recipient has rendered outstand- n

ing service to pharmacy within the past five years

Technician of the Year AwardAwarded annually to a Florida

pharmacy technician who is recog-nized for hisher outstanding perfor-mance and achievement during hisher career

Criteria

Candidate must be a member of n

the Florida Pharmacy Association for at least 2 yearsCandidate must have demonstrat- n

ed contributions and dedication to the advancement of pharmacy technician practiceCandidate must have demonstrat- n

ed contributions to the Florida Pharmacy Association andor oth-er pharmacy organizationsCandidate must have demonstrat- n

ed commitment to community ser-viceCandidate is not a past recipient of n

this award

RQ Richards Award

This award is based on outstanding achievement in the field of pharmaceu-tical public relations in FloridaCriteria

The recipient must be a Florida reg- n

istered pharmacist and a member of the FPAThe recipient has displayed out- n

standing achievement in the field of pharmaceutical public relations in Florida

Frank TobackAZO Consultant

Pharmacist Award

CriteriaCandidate must be an FPA member n

registered with the Florida Board of Pharmacy as a consultant pharma-cist in good standingCandidate should be selected based n

on their outstanding achievements in the field of consultant pharmacy

DCPA Sidney Simkowitz

Pharmacy Involvement Award

Presented annually to a Florida pharmacist who has been active at the local and state pharmacy association level in advancement of the profes-sion of pharmacy in Florida

CriteriaA minimum of five years of active n

involvement in and contributions to the local association and FPACandidate must have held office at n

local level pharmacy associationMember in good standing for a pe- n

riod of at least five years in the FPA and must have served as a member or chairman of a committee of the associationCandidate must have been active- n

ly involved in a project that has or could potentially be of benefit to members of the profession

Pharmacists Mutual Companies

Distinguished Young Pharmacist

Award

Awarded to a young pharmacist for their involvement and dedication to the practice of pharmacyCriteria

licensed to practice for nine (9) years n

or lesslicensed to practice in the state in n

which selectedParticipation in national pharmacy n

association professional programs andor community service

IPA Roman Maximo Corrons

Inspiration amp Motivation Award

Interamerican Pharmacists Association created this award to honor the memo-ry of Roman M Corrons who inspired and motivated countless pharmacists to participate actively and aspire to take on leadership roles in their profession Roman was always there with guidance and support that motivated pharma-cists and encouraged visionary leader-ship approachable active membership and succession planning This award recognizes the motivators among us who inspire others to continue to ad-vance the professionCriteria

C a L L f O r N O m i N a T i O N s F P A A W A R D S 2 0 0 9 - 2 0 1 0

O C T O B e r 2 0 0 9 | 25

DEADLINE FOR NOMINATIONS FEBRUARY 28 2010

The recipient must be a Florida li- n

censed Pharmacist and a member of the FPACandidate should motivate others n

to excel within the profession by en-couraging them to be leadersCandidate is not necessarily an as- n

sociation officer but guides sup-ports andor inspires others

A brief description on the candidatersquos motivationalinspirational skills must accompany the nomination

The Jean Lamberti

Mentorship Award

The Jean lamberti Mentorship Award was established in 1998 to hon-or those pharmacists who have taken time to share their knowledge and ex-

perience with pharmacist candidates The award is named in honor of long time FPA member Jean lamberti for her effort in working with pharmacy studentsCriteria

The recipient must be an FPA mem- n

berThe recipient must serve as a role n

model for the profession of pharmacy

Innovative Pharmacy Practice

Award

Awarded to honor practicing phar-macists who have demonstrated inno-vation in pharmacy practice that has resulted in improved patient careCriteria

The recipient has demonstrated inno- n

vative pharmacy practice resulting in improved patient careThe recipient should be a practic- n

ing pharmacist within the geograph-ic area represented by the presenting Association

Qualified nominee A pharmacist prac-ticing within the geographic area repre-sented by the presenting Association

I AM PLEASED TO SUBMIT THE FOLLOWING NOMINATION

Name

Address

FOR THE FOLLOWING AWARD

(Nomination Deadline February 28 2009)

Wyeth Bowl of Hygeia Award

James H Beal Award

RQ Richards Award

Frank TobackAZO Consultant Pharmacist Award

DCPA Sydney Simkowitz Award

Pharmacists Mutual Co Distinguished Young Pharmacist Award

Academy of Pharmacy Practice Practitioner Merit Award

The Jean Lamberti Mentorship Award

IPA Roman Maximo Corrons Inspiration amp Motivation Award

Innovative Pharmacy Practice Award

Technician of the Year Award

NOMINATED BY

Name

Date Submitted

Signature

Please describe briefly below the nominees accomplishments indicating why you feel he or she should receive this award (Attach additional sheets if necessary)

C a L L f O r N O m i N a T i O N s F P A A W A R D S 2 0 0 9 - 2 0 1 0

F P A A W A R D S N O M I N A T I O N F O R M

mail nominatons to annual awards Florida Pharmacy association 610 n adams st tallahassee Fl 32301(850) 222-2400 FaX (850) 561-6758 dEadlinE For nominations is FEBrUary 28 2010

26 | f L O r i d a p h a r m a C y T O d a y

CALL FOR RESOLUTIONS TO THE 2010 HOUSE OF DELEGATES

The House of Delegates Board of Directors will meet in March 2010 to review and approve resolu-tions for the Annual Meeting The deadline for submitting resolutions is March 15 2010 PleAse noTe THIs DeADlIne

The following information will be needed when submitting resolutions

1 name of organization The name of the organization submitting the resolutions(s)2 name and telephone number of individuals A contact in the event clarification or further in-

formation is needed 3 Problem A statement of the problem addressed by the resolution4 Intent A statement of what passage of the resolution will accomplish5 Resolution Format (please type and use double spacing)

TiTle of ResoluTion

name of oRganizaTion

WheReas and

WheReas

TheRefoRe be iT

Resolved (ThaT The fPa oR subdivision of fPa)

ConTaCT name and Phone

PRoblem

inTenT

Page 23: October 2009 Florida Pharmacy Journal

O C T O B e r 2 0 0 9 | 23

RESOLUTION 1Pharmacy Manager in Charge Man-date rule changes for the State require to be on-site 24 hr perweekBroward County Pharmacist Associa-tion Whereas There is no statutory or rule requirement for a Manager in Charge to be present in the PharmacyWhereas over the last few years in-ternet practices and non-pharmacist owned pharmacies have flourished in practice settings that were poorly su-pervisedBe it Resolved that the FPA propose that the Florida Pharmacy Board pro-mulgate rules which safeguard the public by having a Responsible par-ty (Pharmacy Manager of Record) on premises 24 hrs per given weekContact Broward County Pharmacist AssocDaniel P sweet RPhPast President Board Member954-232-8202Intent To protect the public from non-pharmacist owners to influence the practice of pharmacy by placing a phar-macist on record without reviewing the day to day operations of Pharmacy Practice and its Rules and statuesResolution Not AdoptedRespectfully SubmittedBroward County Pharmacist Associa-tion

RESOLUTION 2

Repeal 40 hr Rule for Community Pharmacy PermitBroward County Pharmacist Associa-tion Whereas the Practice of Pharmacy is evolving to an Information Profession where pharmacists will be reviewing medication therapyWhereas in populated areas there are multiple pharmacies in a compact radi-usBe it Resolved that the Florida Board of Pharmacy act in repealing the 40 hr rule for Community Pharmacy Permit withstanding that there is a pharmacy within 5 miles with extended hours or a 24 hr pharmacy within 2 milesContact

Daniel P sweet RPhPast President Board Member Broward County Pharmacist Assoc954-232-8202 Intent With Pharmacy Practice evolv-ing with more Pharmacists are going to use there education to create office type practice The Pharmacist will need to be off-site to review medications and council patients on the use of their medicationRespectfully SubmittedBroward County Pharmacist Associa-tion Motion to amendAmendment passedSpeaker unable to determine the posi-tion of the House on voice voteStanding vote called for by the House SpeakerResolution adopted on standing vote

RESOLUTION 3

Physician Dispensing ndash Limiting Scope as Pertains to Controlled Sub-stancesBroward County Pharmacists Associa-tionWhereas a significant problem regard-ing the misuse of controlled substances in our state has been identified andWhereas the checks and balances that the pharmacist brings to the equation of reducing the potential for misuse of controlled substances due to conflicts of interest is circumvented in the phy-sician dispensing model Be it Resolved that the FPA seek legis-lative changes to limit the in-office dis-pensing of controlled substances up to and not more than a three (3) day sup-ply Contact Broward County Pharmacists Associa-tionDaniel P sweet RPhPast President Board Member954-232-8202Motion to amend the phrase ldquowork with the respective BoardsrdquoAmendment is adoptedMotion to amend by adding the words ldquouprdquo and the words ldquoand not more thanrdquo to the first sentenceMotion to amend passes

Motion to amend by striking the last sentence of the resolveMotion to amend passesResolution AdoptedIntent With the advent of Pain Man-agement Clinics with Dispensaries Pa-tient safety and control is lost by not having a Pharmacist oversee the pa-tientsrsquo therapeutic management with-in the guidelines of the FDA and Con-trolled substance Abuse Act

RESOLUTION 4

Pharmacy Service TaxBroward County Pharmacists Associa-tionWhereas Pharmacy has assumed the burden of absorbing the costs associat-ed with receiving and sending data to all sourcesWhereas these costs continue to grow and are not associated with the cost of the product or filling fee received thenBe it Resolved that the FPA work with the proper legislative process for the state to create a TAX for prescriptions to cover all communication costs inher-ent in Rx processing for e-prescribing communications to PBMrsquos and data re-porting costs for handling in-state re-porting of Controlled substancesBe it Further Resolved that the col-lected tax be used only for Pharmacy Claims Administrative Costs in han-dling the claims and bear no economic andor administrative burdens on the pharmacyResolution Not AdoptedContact Broward County Pharmacists Associa-tionDaniel P sweet RPhPast President Board Member954-232-8202Intent With greater dependency on data network and associated costs to all pharmacies we have been placed in a pinch With the state controlling the process we gain on many fronts First no back-end costs on any Rx claim next the state can legally charge PBMrsquos un-der contract and will be responsible for collecting the tax and lastly the state can use their collective bargain-ing power to reduce the costs associat-

EmailFax Network HotlineReceive up-to-date and up-to-the-min-ute information on legislative Develop-ments Board of Pharmacy changes and other topics affecting the profession of pharmacy Call FPA Member services at (850) 222-2400 ext 110 ndash rsimmonspharmviewcom

Tax ResourceProvides defense and protection of your assets when you are audited Tax Resource will defend their clients for any income tax audit Federal or state for any tax year Tax Resource pio-neered the tax audit service business and is the largest audit defense firm in the United states Call (800) 92-AUDIT (800-922-8348)

Atlantic Coupon Redemption Center Receive payment in 25 working days of couponrsquos face value plus a rebate of 16 cents based on store volume Call Meredith McCord (800) 223-0398

Florida Commerce Federal Credit Union The chief objective of a credit union is not generating profits for stockholders but to provide service to its member The members benefit by getting attrac-tive returns on savings loans made at fair rates of interest plus enhanced and expanded services This is probably one of the best deals around Call (850) 488-0035

Collection Services For past due accounts call I C system Inc Call (800) 328-9595

Other Member Benefits n Discounted Continuing education

Programsn Monthly Issues of the Florida Phar-

macy Today Journal

ITC Deltacom offering FPA members exclusive associa-tion discounts on telecommunication ser-vices including local services long dis-tance data networks telephone systems and dedicated internet access Call 850-701-3200 or visit wwwitcdeltacomcom

Pharmacy Resource Materials FPA provides the most recent and rele-vant resources necessary to meet your professional needs This includes the Continuous Quality Improvement Manu-al Controlled substance Inventory Book-lets and Pharmacy signs Please call FPA Members services for more information 850-222-2400 ext 110

FPA Website Visit our FPA Website at wwpharmviewcom The site launched in December 2004 and revised in october 2008 includes a members only section The website of-fers a secure server so that you can reg-isters for Ce programs renew your mem-bership or purchase resources materials with your credit card

in keeping with a tradition of offering our members real benefits the Florida Pharmacy association (FPa) is proud to announce the introduction of sponsored discount Benefits Program these vendors are dedicated to providing an excellent value to all FPa members and associates to take advantage of benefits contact the vendors directly at the numbers listed below and identify yourself as a FPa member and have your membership id number handy

MEMBERSHIP MATTERS

Florida Pharmacy Association

24 | f L O r i d a p h a r m a C y T O d a y

Wyeth Bowl of Hygeia

Awarded to a pharmacist for out-standing community service above and beyond professional duties The use of the following selection criteria is re-quired

The recipient must be a Florida li- n

censed pharmacist and a member of FPAThe recipient must be living Awards n

are not presented posthumouslyThe recipient has not previously re- n

ceived the awardThe recipient is not currently serving n

nor has heshe served within the immediate past 2 years on its award committee or an officer of the asso-ciation in other than an ex officio ca-pacityThe recipient has compiled an out- n

standing record of community ser-vice which apart from hisher spe-cific identification as a pharmacist reflects well on the profession

James H Beal Award

Awarded to the Pharmacist of the Year The criteria established for this award is that the recipient be a Flori-da registered pharmacist and a mem-ber of FPA who has rendered outstand-ing service to pharmacy within the past five yearsCriteria

The recipient must be a Florida reg- n

istered pharmacist and a member of the FPAThe recipient has rendered outstand- n

ing service to pharmacy within the past five years

Technician of the Year AwardAwarded annually to a Florida

pharmacy technician who is recog-nized for hisher outstanding perfor-mance and achievement during hisher career

Criteria

Candidate must be a member of n

the Florida Pharmacy Association for at least 2 yearsCandidate must have demonstrat- n

ed contributions and dedication to the advancement of pharmacy technician practiceCandidate must have demonstrat- n

ed contributions to the Florida Pharmacy Association andor oth-er pharmacy organizationsCandidate must have demonstrat- n

ed commitment to community ser-viceCandidate is not a past recipient of n

this award

RQ Richards Award

This award is based on outstanding achievement in the field of pharmaceu-tical public relations in FloridaCriteria

The recipient must be a Florida reg- n

istered pharmacist and a member of the FPAThe recipient has displayed out- n

standing achievement in the field of pharmaceutical public relations in Florida

Frank TobackAZO Consultant

Pharmacist Award

CriteriaCandidate must be an FPA member n

registered with the Florida Board of Pharmacy as a consultant pharma-cist in good standingCandidate should be selected based n

on their outstanding achievements in the field of consultant pharmacy

DCPA Sidney Simkowitz

Pharmacy Involvement Award

Presented annually to a Florida pharmacist who has been active at the local and state pharmacy association level in advancement of the profes-sion of pharmacy in Florida

CriteriaA minimum of five years of active n

involvement in and contributions to the local association and FPACandidate must have held office at n

local level pharmacy associationMember in good standing for a pe- n

riod of at least five years in the FPA and must have served as a member or chairman of a committee of the associationCandidate must have been active- n

ly involved in a project that has or could potentially be of benefit to members of the profession

Pharmacists Mutual Companies

Distinguished Young Pharmacist

Award

Awarded to a young pharmacist for their involvement and dedication to the practice of pharmacyCriteria

licensed to practice for nine (9) years n

or lesslicensed to practice in the state in n

which selectedParticipation in national pharmacy n

association professional programs andor community service

IPA Roman Maximo Corrons

Inspiration amp Motivation Award

Interamerican Pharmacists Association created this award to honor the memo-ry of Roman M Corrons who inspired and motivated countless pharmacists to participate actively and aspire to take on leadership roles in their profession Roman was always there with guidance and support that motivated pharma-cists and encouraged visionary leader-ship approachable active membership and succession planning This award recognizes the motivators among us who inspire others to continue to ad-vance the professionCriteria

C a L L f O r N O m i N a T i O N s F P A A W A R D S 2 0 0 9 - 2 0 1 0

O C T O B e r 2 0 0 9 | 25

DEADLINE FOR NOMINATIONS FEBRUARY 28 2010

The recipient must be a Florida li- n

censed Pharmacist and a member of the FPACandidate should motivate others n

to excel within the profession by en-couraging them to be leadersCandidate is not necessarily an as- n

sociation officer but guides sup-ports andor inspires others

A brief description on the candidatersquos motivationalinspirational skills must accompany the nomination

The Jean Lamberti

Mentorship Award

The Jean lamberti Mentorship Award was established in 1998 to hon-or those pharmacists who have taken time to share their knowledge and ex-

perience with pharmacist candidates The award is named in honor of long time FPA member Jean lamberti for her effort in working with pharmacy studentsCriteria

The recipient must be an FPA mem- n

berThe recipient must serve as a role n

model for the profession of pharmacy

Innovative Pharmacy Practice

Award

Awarded to honor practicing phar-macists who have demonstrated inno-vation in pharmacy practice that has resulted in improved patient careCriteria

The recipient has demonstrated inno- n

vative pharmacy practice resulting in improved patient careThe recipient should be a practic- n

ing pharmacist within the geograph-ic area represented by the presenting Association

Qualified nominee A pharmacist prac-ticing within the geographic area repre-sented by the presenting Association

I AM PLEASED TO SUBMIT THE FOLLOWING NOMINATION

Name

Address

FOR THE FOLLOWING AWARD

(Nomination Deadline February 28 2009)

Wyeth Bowl of Hygeia Award

James H Beal Award

RQ Richards Award

Frank TobackAZO Consultant Pharmacist Award

DCPA Sydney Simkowitz Award

Pharmacists Mutual Co Distinguished Young Pharmacist Award

Academy of Pharmacy Practice Practitioner Merit Award

The Jean Lamberti Mentorship Award

IPA Roman Maximo Corrons Inspiration amp Motivation Award

Innovative Pharmacy Practice Award

Technician of the Year Award

NOMINATED BY

Name

Date Submitted

Signature

Please describe briefly below the nominees accomplishments indicating why you feel he or she should receive this award (Attach additional sheets if necessary)

C a L L f O r N O m i N a T i O N s F P A A W A R D S 2 0 0 9 - 2 0 1 0

F P A A W A R D S N O M I N A T I O N F O R M

mail nominatons to annual awards Florida Pharmacy association 610 n adams st tallahassee Fl 32301(850) 222-2400 FaX (850) 561-6758 dEadlinE For nominations is FEBrUary 28 2010

26 | f L O r i d a p h a r m a C y T O d a y

CALL FOR RESOLUTIONS TO THE 2010 HOUSE OF DELEGATES

The House of Delegates Board of Directors will meet in March 2010 to review and approve resolu-tions for the Annual Meeting The deadline for submitting resolutions is March 15 2010 PleAse noTe THIs DeADlIne

The following information will be needed when submitting resolutions

1 name of organization The name of the organization submitting the resolutions(s)2 name and telephone number of individuals A contact in the event clarification or further in-

formation is needed 3 Problem A statement of the problem addressed by the resolution4 Intent A statement of what passage of the resolution will accomplish5 Resolution Format (please type and use double spacing)

TiTle of ResoluTion

name of oRganizaTion

WheReas and

WheReas

TheRefoRe be iT

Resolved (ThaT The fPa oR subdivision of fPa)

ConTaCT name and Phone

PRoblem

inTenT

Page 24: October 2009 Florida Pharmacy Journal

24 | f L O r i d a p h a r m a C y T O d a y

Wyeth Bowl of Hygeia

Awarded to a pharmacist for out-standing community service above and beyond professional duties The use of the following selection criteria is re-quired

The recipient must be a Florida li- n

censed pharmacist and a member of FPAThe recipient must be living Awards n

are not presented posthumouslyThe recipient has not previously re- n

ceived the awardThe recipient is not currently serving n

nor has heshe served within the immediate past 2 years on its award committee or an officer of the asso-ciation in other than an ex officio ca-pacityThe recipient has compiled an out- n

standing record of community ser-vice which apart from hisher spe-cific identification as a pharmacist reflects well on the profession

James H Beal Award

Awarded to the Pharmacist of the Year The criteria established for this award is that the recipient be a Flori-da registered pharmacist and a mem-ber of FPA who has rendered outstand-ing service to pharmacy within the past five yearsCriteria

The recipient must be a Florida reg- n

istered pharmacist and a member of the FPAThe recipient has rendered outstand- n

ing service to pharmacy within the past five years

Technician of the Year AwardAwarded annually to a Florida

pharmacy technician who is recog-nized for hisher outstanding perfor-mance and achievement during hisher career

Criteria

Candidate must be a member of n

the Florida Pharmacy Association for at least 2 yearsCandidate must have demonstrat- n

ed contributions and dedication to the advancement of pharmacy technician practiceCandidate must have demonstrat- n

ed contributions to the Florida Pharmacy Association andor oth-er pharmacy organizationsCandidate must have demonstrat- n

ed commitment to community ser-viceCandidate is not a past recipient of n

this award

RQ Richards Award

This award is based on outstanding achievement in the field of pharmaceu-tical public relations in FloridaCriteria

The recipient must be a Florida reg- n

istered pharmacist and a member of the FPAThe recipient has displayed out- n

standing achievement in the field of pharmaceutical public relations in Florida

Frank TobackAZO Consultant

Pharmacist Award

CriteriaCandidate must be an FPA member n

registered with the Florida Board of Pharmacy as a consultant pharma-cist in good standingCandidate should be selected based n

on their outstanding achievements in the field of consultant pharmacy

DCPA Sidney Simkowitz

Pharmacy Involvement Award

Presented annually to a Florida pharmacist who has been active at the local and state pharmacy association level in advancement of the profes-sion of pharmacy in Florida

CriteriaA minimum of five years of active n

involvement in and contributions to the local association and FPACandidate must have held office at n

local level pharmacy associationMember in good standing for a pe- n

riod of at least five years in the FPA and must have served as a member or chairman of a committee of the associationCandidate must have been active- n

ly involved in a project that has or could potentially be of benefit to members of the profession

Pharmacists Mutual Companies

Distinguished Young Pharmacist

Award

Awarded to a young pharmacist for their involvement and dedication to the practice of pharmacyCriteria

licensed to practice for nine (9) years n

or lesslicensed to practice in the state in n

which selectedParticipation in national pharmacy n

association professional programs andor community service

IPA Roman Maximo Corrons

Inspiration amp Motivation Award

Interamerican Pharmacists Association created this award to honor the memo-ry of Roman M Corrons who inspired and motivated countless pharmacists to participate actively and aspire to take on leadership roles in their profession Roman was always there with guidance and support that motivated pharma-cists and encouraged visionary leader-ship approachable active membership and succession planning This award recognizes the motivators among us who inspire others to continue to ad-vance the professionCriteria

C a L L f O r N O m i N a T i O N s F P A A W A R D S 2 0 0 9 - 2 0 1 0

O C T O B e r 2 0 0 9 | 25

DEADLINE FOR NOMINATIONS FEBRUARY 28 2010

The recipient must be a Florida li- n

censed Pharmacist and a member of the FPACandidate should motivate others n

to excel within the profession by en-couraging them to be leadersCandidate is not necessarily an as- n

sociation officer but guides sup-ports andor inspires others

A brief description on the candidatersquos motivationalinspirational skills must accompany the nomination

The Jean Lamberti

Mentorship Award

The Jean lamberti Mentorship Award was established in 1998 to hon-or those pharmacists who have taken time to share their knowledge and ex-

perience with pharmacist candidates The award is named in honor of long time FPA member Jean lamberti for her effort in working with pharmacy studentsCriteria

The recipient must be an FPA mem- n

berThe recipient must serve as a role n

model for the profession of pharmacy

Innovative Pharmacy Practice

Award

Awarded to honor practicing phar-macists who have demonstrated inno-vation in pharmacy practice that has resulted in improved patient careCriteria

The recipient has demonstrated inno- n

vative pharmacy practice resulting in improved patient careThe recipient should be a practic- n

ing pharmacist within the geograph-ic area represented by the presenting Association

Qualified nominee A pharmacist prac-ticing within the geographic area repre-sented by the presenting Association

I AM PLEASED TO SUBMIT THE FOLLOWING NOMINATION

Name

Address

FOR THE FOLLOWING AWARD

(Nomination Deadline February 28 2009)

Wyeth Bowl of Hygeia Award

James H Beal Award

RQ Richards Award

Frank TobackAZO Consultant Pharmacist Award

DCPA Sydney Simkowitz Award

Pharmacists Mutual Co Distinguished Young Pharmacist Award

Academy of Pharmacy Practice Practitioner Merit Award

The Jean Lamberti Mentorship Award

IPA Roman Maximo Corrons Inspiration amp Motivation Award

Innovative Pharmacy Practice Award

Technician of the Year Award

NOMINATED BY

Name

Date Submitted

Signature

Please describe briefly below the nominees accomplishments indicating why you feel he or she should receive this award (Attach additional sheets if necessary)

C a L L f O r N O m i N a T i O N s F P A A W A R D S 2 0 0 9 - 2 0 1 0

F P A A W A R D S N O M I N A T I O N F O R M

mail nominatons to annual awards Florida Pharmacy association 610 n adams st tallahassee Fl 32301(850) 222-2400 FaX (850) 561-6758 dEadlinE For nominations is FEBrUary 28 2010

26 | f L O r i d a p h a r m a C y T O d a y

CALL FOR RESOLUTIONS TO THE 2010 HOUSE OF DELEGATES

The House of Delegates Board of Directors will meet in March 2010 to review and approve resolu-tions for the Annual Meeting The deadline for submitting resolutions is March 15 2010 PleAse noTe THIs DeADlIne

The following information will be needed when submitting resolutions

1 name of organization The name of the organization submitting the resolutions(s)2 name and telephone number of individuals A contact in the event clarification or further in-

formation is needed 3 Problem A statement of the problem addressed by the resolution4 Intent A statement of what passage of the resolution will accomplish5 Resolution Format (please type and use double spacing)

TiTle of ResoluTion

name of oRganizaTion

WheReas and

WheReas

TheRefoRe be iT

Resolved (ThaT The fPa oR subdivision of fPa)

ConTaCT name and Phone

PRoblem

inTenT

Page 25: October 2009 Florida Pharmacy Journal

O C T O B e r 2 0 0 9 | 25

DEADLINE FOR NOMINATIONS FEBRUARY 28 2010

The recipient must be a Florida li- n

censed Pharmacist and a member of the FPACandidate should motivate others n

to excel within the profession by en-couraging them to be leadersCandidate is not necessarily an as- n

sociation officer but guides sup-ports andor inspires others

A brief description on the candidatersquos motivationalinspirational skills must accompany the nomination

The Jean Lamberti

Mentorship Award

The Jean lamberti Mentorship Award was established in 1998 to hon-or those pharmacists who have taken time to share their knowledge and ex-

perience with pharmacist candidates The award is named in honor of long time FPA member Jean lamberti for her effort in working with pharmacy studentsCriteria

The recipient must be an FPA mem- n

berThe recipient must serve as a role n

model for the profession of pharmacy

Innovative Pharmacy Practice

Award

Awarded to honor practicing phar-macists who have demonstrated inno-vation in pharmacy practice that has resulted in improved patient careCriteria

The recipient has demonstrated inno- n

vative pharmacy practice resulting in improved patient careThe recipient should be a practic- n

ing pharmacist within the geograph-ic area represented by the presenting Association

Qualified nominee A pharmacist prac-ticing within the geographic area repre-sented by the presenting Association

I AM PLEASED TO SUBMIT THE FOLLOWING NOMINATION

Name

Address

FOR THE FOLLOWING AWARD

(Nomination Deadline February 28 2009)

Wyeth Bowl of Hygeia Award

James H Beal Award

RQ Richards Award

Frank TobackAZO Consultant Pharmacist Award

DCPA Sydney Simkowitz Award

Pharmacists Mutual Co Distinguished Young Pharmacist Award

Academy of Pharmacy Practice Practitioner Merit Award

The Jean Lamberti Mentorship Award

IPA Roman Maximo Corrons Inspiration amp Motivation Award

Innovative Pharmacy Practice Award

Technician of the Year Award

NOMINATED BY

Name

Date Submitted

Signature

Please describe briefly below the nominees accomplishments indicating why you feel he or she should receive this award (Attach additional sheets if necessary)

C a L L f O r N O m i N a T i O N s F P A A W A R D S 2 0 0 9 - 2 0 1 0

F P A A W A R D S N O M I N A T I O N F O R M

mail nominatons to annual awards Florida Pharmacy association 610 n adams st tallahassee Fl 32301(850) 222-2400 FaX (850) 561-6758 dEadlinE For nominations is FEBrUary 28 2010

26 | f L O r i d a p h a r m a C y T O d a y

CALL FOR RESOLUTIONS TO THE 2010 HOUSE OF DELEGATES

The House of Delegates Board of Directors will meet in March 2010 to review and approve resolu-tions for the Annual Meeting The deadline for submitting resolutions is March 15 2010 PleAse noTe THIs DeADlIne

The following information will be needed when submitting resolutions

1 name of organization The name of the organization submitting the resolutions(s)2 name and telephone number of individuals A contact in the event clarification or further in-

formation is needed 3 Problem A statement of the problem addressed by the resolution4 Intent A statement of what passage of the resolution will accomplish5 Resolution Format (please type and use double spacing)

TiTle of ResoluTion

name of oRganizaTion

WheReas and

WheReas

TheRefoRe be iT

Resolved (ThaT The fPa oR subdivision of fPa)

ConTaCT name and Phone

PRoblem

inTenT

Page 26: October 2009 Florida Pharmacy Journal

26 | f L O r i d a p h a r m a C y T O d a y

CALL FOR RESOLUTIONS TO THE 2010 HOUSE OF DELEGATES

The House of Delegates Board of Directors will meet in March 2010 to review and approve resolu-tions for the Annual Meeting The deadline for submitting resolutions is March 15 2010 PleAse noTe THIs DeADlIne

The following information will be needed when submitting resolutions

1 name of organization The name of the organization submitting the resolutions(s)2 name and telephone number of individuals A contact in the event clarification or further in-

formation is needed 3 Problem A statement of the problem addressed by the resolution4 Intent A statement of what passage of the resolution will accomplish5 Resolution Format (please type and use double spacing)

TiTle of ResoluTion

name of oRganizaTion

WheReas and

WheReas

TheRefoRe be iT

Resolved (ThaT The fPa oR subdivision of fPa)

ConTaCT name and Phone

PRoblem

inTenT